Wis. Stat. § 632.853
Current through Acts 2023-2024, ch. 272
A health care plan, as defined in s. 628.36(2) (a) 1 , or a self-insured health plan, as defined in s. 632.85(1) (c) , that provides coverage of only certain specified prescription drugs or devices shall develop a process through which a physician may present medical evidence to obtain an individual patient exception for coverage of a prescription drug or device not routinely covered by the plan. The process shall include timelines for both urgent and nonurgent review.
Wis. Stat. § 632.853