N.M. Stat. § 59A-46-52.1. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Health Maintenance Organization Law – New Mexico

Status: Enacted
Year Enacted: 2018
File: Download

Each group or blanket health insurance policy, health care plan and certificate of health insurance delivered or issued for delivery in this state that provides a prescription drug benefit for which any step therapy protocols are required shall establish clinical review criteria for those step therapy protocols. The clinical review criteria shall be based on clinical practice guidelines that:


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