Mich. Comp. Laws §§ 333.9701 through 333.9709: Michigan Pharmaceutical Best Practices Initiative – Michigan
Status: Enacted Year Enacted: 2004
The department may implement a pharmaceutical best practices initiative for the department’s various health care programs to control the costs of health care, to reduce the costs of prescription drugs, and to assure continued access …
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Minn. Stat. § 62A.3075. Cancer chemotherapy treatment coverage: Policies, Rates, and Coverages – Minnesota
Status: Enacted Year Enacted: 2010
A health plan company that provides coverage under a health plan for cancer chemotherapy treatment shall not require a higher co-payment, deductible, or coinsurance amount for a prescribed, orally administered anticancer medication that is used …
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Minn. Stat. § 62E.10. Comprehensive Health Association: Minnesota Comprehensive Health Insurance Act of 1976 – Minnesota
Status: Enacted Year Enacted: 1976
There is established a Comprehensive Health Association to promote the public health and welfare of the state of Minnesota with membership consisting of all insurers; self-insurers; fraternals; joint self-insurance plans regulated under chapter 62H; the …
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Miss. Code Ann. § 83-9-6.4. Individual and group health insurance policies to permit partial supply of prescription medication for purpose of synchronizing patient’s medication under certain circumstances [Effective January 1, 2019]: Accident and Health Insurance – Mississippi
Status: Enacted Year Enacted: 2018
Individual and group health insurance policies providing prescription drug coverage in the state shall permit and apply a prorated daily cost sharing date to prescriptions that are dispensed by a network pharmacy under the following …
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Miss. Code Ann. § 43-13-117. Types of care and services for which financial assistance furnished [Repealed effective July 1, 2021]: Mississippi Medicaid Law – Mississippi
Status: Enacted Year Enacted: 1969
As authorized by this article, Medicaid shall include payment of part of all of the costs with approval of the government and CMS of the following types of care and services
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Miss. Code Ann. § 83-9-36. Process by which prescribing practitioner may request override of restriction on medication restricted for use by insurer step therapy or fail-first protocol; circumstances under which insurer to grant override: Accident and Health Insurance – Mississippi
Status: Enacted Year Enacted: 2011
When prescribing medication for the treatment of any medical condition is restricted by a step therapy or first-fail protocol, the prescribing practitioner shall have access to an expedited request for override of that restriction from …
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Mo. Rev. Stat. § 208.175. Drug utilization review board established, members, terms, compensation, duties: Old Age Assistance, Aid to Dependent Children and General Relief – Missouri
Status: Enacted Year Enacted: 1992
Establishes the “Drug Utilization Review Board.“
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Mo. Rev. Stat. § 208.782. Missouri Rx plan established, purpose–rulemaking authority: Missouri RX Program – Missouri
Status: Enacted Year Enacted: 2005
The purpose of the Missouri Rx plan, established within the department of social services, is to provide certain pharmaceutical benefits to certain elderly and disabled residents of this state, to facilitate coordination of benefits between …
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Mo. Rev. Stat. § 338.320. Missouri electronic prior authorization committee established — members, duties–pharmacy benefits manager to conduct pilot program: Pharmacists and Pharmacies – Missouri
Status: Enacted Year Enacted: 2012
Establishes the “Missouri Electonic Prior Authorization Committee“ in order to facilitate, monitor, and report to the general assembly of Missouri-based efforts to contribute to the establishment of national electronic prior authorization standards.
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Mo. Rev. Stat. § 354.442. Disclosure information to enrollees required, when: Health Maintenance Organizations – Missouri
Status: Enacted Year Enacted: 1997
Each enrollee, and upon request each prospective enrollee prior to enrollment, shall be supplied with written disclosure information. In the event of any inconsistency between any separate written disclosure statement and the enrollee contract or …
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Mo. Rev. Stat. §§ 376.2030 through 376.2036: Step Therapy for Prescription Drugs – Missouri
Status: Enacted Year Enacted: 2016
Details requires for step therapy protocols in Missouri.
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Mo. Rev. Stat. §§ 376.960 through 376.989: Life, Health and Accident Insurance – Missouri
Status: Enacted Year Enacted: 1990
The board shall offer to all eligible persons for pool coverage under section 376.966 the option of receiving health insurance coverage through a high-deductible health plan and the establishment of a health savings account. In …
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Mont. Code Ann. § 33-22-129. Coverage for outpatient self-management training and education for treatment of diabetes — limited benefit for medically necessary equipment and supplies: Disability Insurance General Provisions – Montana
Status: Enacted Year Enacted: 2001
Each group disability policy, certificate of insurance, and membership contract that is delivered, issued for delivery, renewed, extended, or modified in this state must provide coverage for outpatient self-management training and education for the treatment …
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Mont. Code Ann. § 33-22-170. Definitions: Disability Insurance General Provisions – Montana
Status: Enacted Year Enacted: 2015
Definitions for reference pricing in Montana for Disability Insurance.
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Mont. Code Ann. § 33-22-171. Maximum allowable cost list — limitations on drugs: Disability Insurance General Provisions – Montana
Status: Enacted Year Enacted: 2015
Specifications for a drug before a pharmacy benefit manager places or continues it on a maximum allowable cost list.
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Mont. Code Ann. § 33-22-172. Maximum allowable cost or reference price list — price formulation, updating, and disclosure — exceptions: Disability Insurance General Provisions – Montana
Status: Enacted Year Enacted: 2015
At the time it enters into a contract with a pharmacy and subsequently upon request, a plan sponsor, health insurance issuer, or pharmacy benefit manager shall provide the pharmacy with the sources used to determine …
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