Arizona Laws 20-1057.15. Prescriptions; cost sharing; refills; dispensing fees; definition
A. An evidence of coverage that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs:
Terms Used In Arizona Laws 20-1057.15
- Enrollee: means an individual who has been enrolled in a health care plan. See Arizona Laws 20-1051
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Evidence of coverage: means any certificate, agreement or contract issued to an enrollee and setting out the coverage to which the enrollee is entitled. See Arizona Laws 20-1051
1. May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the evidence of coverage that is dispensed by a network pharmacy for less than the standard refill amount if the enrollee requests enrollment into a medication synchronization program and less than the standard refill amount for the purpose of synchronizing the enrollee’s medications.
2. Shall accept early refill and short fill requests for prescription drugs using the submission clarification and message codes as adopted by the national council for prescription drug plans or alternative codes provided by the plan upon July 3, 2015.
B. For the purposes of this section, "medication synchronization" means the coordination of medication refills for a patient taking two or more medications for a chronic condition that are being dispensed by a single contracted pharmacy to facilitate the synchronization of the patient’s medications for the purpose of improving medication adherence.