Md. Code, Ins. § 15-852. Prorated daily copayment or coinsurance amount for partial supply of prescription drug: Required Health Insurance Benefits – Maryland

Status: Enacted
Year Enacted: 2017
File: Download

An entity subject to this section shall allow and apply a prorated daily copayment or coinsurance amount for a partial supply of a prescription drug dispensed by an in-network pharmacy if the prescriber or the pharmacist determines dispensing a partial supply of a prescription drug to be in the best interest of the member; the prescription drug is anticipated to be required for more than 3 months; the member requests or agrees to a partial supply for the purpose of synchronizing the dispensing of the member’s prescription drugs; the prescription drug is not a Schedule II controlled dangerous substance; and the supply and dispensing of the prescription drug meets all prior authorization and utilization management requirements specific to the prescription drug at the time of the synchronized dispensing.

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