Indiana Code 27-13-38-7. Prescription drug coverage
(b) A health maintenance organization shall not remove a prescription drug from the health maintenance organization’s formulary, change the cost sharing requirements that apply to a prescription drug, or change the utilization review program requirements that apply to a prescription drug unless that health maintenance organization does at least one (1) of the following:
Terms Used In Indiana Code 27-13-38-7
- Month: means a calendar month, unless otherwise expressed. See Indiana Code 1-1-4-5
(2) At the time an enrollee for whom the prescription drug has been prescribed during the preceding twelve (12) month period requests a refill of the prescription drug, provide to the enrollee:
(A) written notice of the removal or change; and
(B) a sixty (60) day supply of the prescription drug under the terms that applied before the removal or change.
As added by P.L.19-2016, SEC.6.