Section 4314-A - Coverage for early refills of prescription eye drops1.Required coverage. A carrier offering a health plan in this State shall provide coverage for one early refill of a prescription for eye drops if the following criteria are met: A. The enrollee requests the refill no earlier than the date on which 70% of the days of use authorized by the prescribing health care provider have elapsed; [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).]B. The prescribing health care provider indicated on the original prescription that a specific number of refills are authorized; [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).]C. The refill requested by the enrollee does not exceed the number of refills indicated on the original prescription; [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).]D. The prescription has not been refilled more than once during the period authorized by the prescribing health care provider prior to the request for an early refill; and [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).]E. The prescription eye drops are a covered benefit under the enrollee's health plan. [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).] [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).]
2. Cost sharing. A carrier may impose a deductible, copayment or coinsurance requirement for an early refill under this section as permitted under the health plan. [2015, c. 91, §1(NEW); 2015, c. 91, §2(AFF).]
Added by 2015, c. 91,§ 1, eff. 10/15/2015.