Bill > A1869

Introduced Session

This bill supplements the "Health Care Quality Act" to require a carrier that offers a health benefits plan in this State which provides coverage for pharmacy services, prescription drugs, or for participation in a prescription drug plan, to provide to a pharmacist in a situation in which the carrier denies a covered person's coverage for a drug prescribed by the health care professional, a list of all alternative drugs that are covered by the health benefits plan and that are interchangeable with, and therapeutically equivalent to, the drug for which coverage was denied. The carrier is to provide the list of alternative drugs to the pharmacy point of sale system at the time of denial, along with the notice of the denial of coverage along with the notice of the denial of coverage.

AI Summary

Committee Categories

Sterley Stanley (D)*, 

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/09/2024)

Official Document