Idaho Code Ann. § 54-1768. Prescriber-authorized substitution: Idaho Pharmacy Act – Idaho
Status: Enacted Year Enacted: 2018
A licensed prescriber may authorize a pharmacist to substitute a drug with another drug in the same therapeutic class that would, in the opinion of the pharmacist, have a substantially equivalent therapeutic effect even though …
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Idaho Code Ann. § 54-1769. Communication regarding biological products: Idaho Pharmacy Act – Idaho
Status: Enacted Year Enacted: 2016
A pharmacist who dispenses a biological product shall communicate to the prescriber the name and manufacturer of the drug within five business days following the dispensing of the biological product. Communication shall occur via an …
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Ind. Code § 12-15-5-5. Prescription drug benefit in risk based managed care program: Medicaid — Services Provided – Indiana
Status: Enacted Year Enacted: 1991
The office may provide a prescription drug benefit to a Medicaid recipient in a Medicaid risk based managed care program.
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Ind. Code § 12-15-5-8. Pharmacies for maintenance drugs: Medicaid — Services Provided – Indiana
Status: Enacted Year Enacted: 2005
As used in this section, “maintenance drug” means a medication that is dispensed under a single prescription for a period of not less than one hundred eighty (180) days, excluding authorized refills, for the ongoing …
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Ind. Code § 5-10-8-18. Removal of a prescription drug from a health plan formulary, changing of cost sharing requirements, or changing utilization review; requirements: Group Insurance for Public Employees – Indiana
Status: Enacted Year Enacted: 2016
This section applies to a state employee health plan that uses a formulary, cost sharing, or utilization review for prescription drug coverage.
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Ind. Code §§ 12-15-35-1 through 12-15-35-50: Medicaid — Drug Utilization Review – Indiana
Status: Enacted Year Enacted: 1992
Statutes governing drug utilization review.
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Ind. Code §§ 27-1-37.4-1 through 27-1-37.4-8: Department of Insurance– Electronic Prescription Drug Prior Authorization – Indiana
Status: Enacted Year Enacted: 2017
Statutes governing prior authorization, which under the statute is a health plan requirement that a prescription drug be authorized for payment by the health plan before the prescription drug is provided to a particular covered …
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Iowa Code § 249A.2. Definitions: Medical Assistance Act – Iowa
Status: Enacted Year Enacted: 1967
In addition to any other duties prescribed, the commission shall make recommendations to the council on human services regarding strategies to reduce state expenditures for prescription drugs under the medical assistance program excluding provider reimbursement …
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Iowa Code § 249A.24. Iowa medical assistance drug utilization review commission–created: Medical Assistance Act – Iowa
Status: Enacted Year Enacted: 2002
In addition to any other duties prescribed, the commission shall make recommendations to the council on human services regarding strategies to reduce state expenditures for prescription drugs under the medical assistance program excluding provider reimbursement …
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Iowa Code § 514C.19. Prescription contraceptive coverage: Special Health and Accident Insurance Coverages – Iowa
Status: Enacted Year Enacted: 2000
A group policy or contract providing for third-party payment or prepayment of health or medical expenses shall not exclude or restrict benefits for prescription contraceptive drugs or prescription contraceptive devices which prevent conception, or generic …
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Iowa Code §§ 510B.1 through 510B.10: Regulation of Pharmacy Benefits Managers – Iowa
Status: Enacted Year Enacted: 2007
The commissioner may require a pharmacy benefits manager to submit information to the commissioner related to the pharmacy benefits manager’s pricing methodology for maximum reimbursement amount.
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Iowa Code §§ 514F.1 through 514F.7: Preferred Provider Arrangements – Iowa
Status: Enacted Year Enacted: 1986
Authorizes preferred provider arrangements between a health insurance carrier and a provider, stating the manner of payment may include capitation payments as a system of remuneration.
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Iowa Code §§ 514K.1 & 514K.2: Health Care Plan Information – Iowa
Status: Enacted Year Enacted: 1999
A carrier that provides small group health coverage shall provide to enrollees and the public any items or services, including prescription drugs, that have a coinsurance requirement where the cost-sharing required depends on the cost …
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Kan. Stat. Ann. §§ 39-7,116 through 7,121g: Drug Utilization Review Program – Kansas
Status: Enacted Year Enacted: 1990
The secretary of health and environment shall implement a drug utilization review program with the assistance of a medicaid drug utilization review board as provided in K.S.A. 39-7,119, and amendments thereto, to assure the appropriate …
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Kan. Stat. Ann. §§ 40-2,105a through 2,105d: Kansas Mental Health Parity Act – Kansas
Status: Enacted Year Enacted: 2001
Any group health insurance policy, medical service plan, contract, hospital service corporation contract, hospital and medical service corporation contract, fraternal benefit society or health maintenance organization that provides medical, surgical or hospital expense coverage shall …
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Kan. Stat. Ann. §§ 65-1625 through 1626a: Pharmacy Act of the State of Kansas – Kansas
Status: Enacted Year Enacted: 1953
Deletes, adds, and modifies definitions to be consistent with federal standards; modifies the requirements for processing prescription orders to prohibit pharmacists from exercising brand exchange for a biological product; inserts provisions to bring the Act …
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