Mo. Rev. Stat. § 338.085. Definitions–substitution of interchangeable biological products, when–notice to prescriber, requirements–records–rulemaking authority: Pharmacists and Pharmacies – Missouri
Status: Enacted Year Enacted: 2016
Definitions related to regulation of pharmacists in Missouri.
Download
Mo. Rev. Stat. § 354.535. Pharmacist, emergency situation, may take an assignment of enrollee’s right to reimbursement–health maintenance organizations shall only contract with entities licensed by the board of pharmacy–requirements for drug prescriptions, exceptions: Health Maintenance Organizations – Missouri
Status: Enacted Year Enacted: 1983
If a pharmacy, operated by or contracted with by a health maintenance organization, is closed or is unable to provide health care services to an enrollee in an emergency, a pharmacist may take an assignment …
Download
Mo. Rev. Stat. § 376.388. Definitions–pharmacy benefits manager requirements upon execution or renewal of contract with pharmacy–contract requirements–disputes regarding maximum allowable cost pricing appeals: Life, Health and Accident Insurance – Missouri
Status: Enacted Year Enacted: 2016
Definitions related to PBMs, etc. in Missouri.
Download
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.
Download
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.
Download
Mont. Code Ann. § 33-22-174. Opt-out of reference pricing — notification: Disability Insurance General Provisions – Montana
Status: Enacted Year Enacted: 2017
Pharmacists or pharmacies in a network plan on referenced based pricing may decline to provide a brand-namedrug, multisource generic drug, supply, or service if the reference pricing amount is less than the acquisition cost paid …
Download
Mont. Code Ann. § 53-6-1006. Prescription drug consumer information and technical assistance program — education outreach for consumers and professionals: Prescription Drug Plus Discount Program – Montana
Status: Enacted Year Enacted: 2005
There is a prescription drug consumer information and technical assistance program in the department to provide Montana residents with advice on the prudent use of prescription drugs and how to access government and private prescription …
Download
N.M. Stat. § 59A-22-53.1. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Health Insurance Contracts – New Mexico
Status: Enacted Year Enacted: 2018
Each individual 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 …
Download
N.M. Stat. § 59A-23-12.1. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Group and Blanket Health Insurance Contracts – New Mexico
Status: Enacted Year Enacted: 2018
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 …
Download
N.M. Stat. § 59A-47-45.4. Prescription drugs; prohibited formulary changes; notice requirements: Nonprofit Health Care Plan Law – New Mexico
Status: Enacted Year Enacted: 2013
As of January 1, 2014, an individual or group health care plan that is delivered, issued for delivery or renewed in this state and that provides prescription drug benefits categorized or tiered for purposes of …
Download
N.M. Stat. § 59A-47-47.1. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Nonprofit Health Care Plan Law – New Mexico
Status: Enacted Year Enacted: 1984
Each individual or group nonprofit health care plan contract 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 …
Download
N.M. Stat. § 59A-47-48. Pharmacy benefits; prescription synchronization: Nonprofit Health Care Plan Law – New Mexico
Status: Enacted Year Enacted: 2015
An individual or group health care plan that is delivered, issued for delivery or renewed in this state and that provides a prescription drug benefit shall allow a subscriber to fill or refill a prescription …
Download
N.M. Stat. Ann. § 26-1-2 – New Mexico
Status: Enacted
Amends the New Mexico Drug, Device and Cosmetic Act to allow pharmacists to substitute biosimilar and interchangeable biosimilar biologic products for another biologic product that has been prescribed by a physician.
Nev. Rev. Stat. §§ 683A.020, 683A.083, 683A.0851, 683A.0852, 683A.171 through 683A.179: Persons Involved in Sale or Administration of Insurance – Nevada
Status: Enacted Year Enacted: 1971
As used in this Code, unless the context otherwise requires, the words and terms defined in NRS 683A.025 to 683A.078, inclusive, have the meanings ascribed to them in those sections.
Download
Nev. Rev. Stat. §§ 689B.030 through 689B.0379: Group and Blanket Health Insurance Law– Group Policies– Coverage – Nevada
Status: Enacted Year Enacted: 1971
Insurers offering group or individual insurance policies must cover minimum medical services and drug related services. They must also include provisions concerning coverage for certain services, screenings and tests relating to wellness.
Download
S 02087 (see companion bills A 02836 and S 06531) – New York
Introduced: 2019 Status: Inactive / Dead
Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets forth definitions; provides for funds received by a pharmacy …