Bill Text: AZ SB1288 | 2015 | Fifty-second Legislature 1st Regular | Chaptered
Bill Title: Prescription drug coverage; medication synchronization
Spectrum: Bipartisan Bill
Status: (Passed) 2015-04-01 - Chapter 159 [SB1288 Detail]
Download: Arizona-2015-SB1288-Chaptered.html
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Senate Engrossed |
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State of Arizona Senate Fifty-second Legislature First Regular Session 2015
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CHAPTER 159
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SENATE BILL 1288 |
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AN ACT
Amending Title 20, chapter 4, article 3, Arizona Revised Statutes, by adding section 20-848; Amending Title 20, chapter 4, article 9, Arizona Revised Statutes, by adding section 20-1057.15; amending Title 20, chapter 6, article 4, Arizona Revised Statutes, by adding section 20-1376.07; amending Title 20, chapter 6, article 5, Arizona Revised Statutes, by adding section 20-1406.07; relating to prescription drug benefits.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 20-848, to read:
20-848. Prescriptions; cost sharing; refills; dispensing fees; definition
A. A subscription contract that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs:
1. May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the contract that is dispensed by a network pharmacy for less than the standard refill amount if the subscriber requests enrollment into a medication synchronization program and less than the standard refill amount for the purpose of synchronizing the subscriber'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 the effective date of this act.
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.
Sec. 2. Title 20, chapter 4, article 9, Arizona Revised Statutes, is amended by adding section 20-1057.15, to read:
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:
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 the effective date of this act.
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.
Sec. 3. Title 20, chapter 6, article 4, Arizona Revised Statutes, is amended by adding section 20-1376.07, to read:
20-1376.07. Prescriptions; cost sharing; refills; dispensing fees; definition
A. A disability insurance policy that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs:
1. May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the policy that is dispensed by a network pharmacy for less than the standard refill amount if the insured requests enrollment into a medication synchronization program and less than the standard refill amount for the purpose of synchronizing the insured'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 the effective date of this act.
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.
Sec. 4. Title 20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding section 20-1406.07, to read:
20-1406.07. Prescriptions; cost sharing; refills; dispensing fees
A. A group or blanket disability insurance contract that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs:
1. May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the contract that is dispensed by a network pharmacy for less than the standard refill amount if the insured requests enrollment into a medication synchronization program and less than the standard refill amount for the purpose of synchronizing the insured'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 the effective date of this act.
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.
APPROVED BY THE GOVERNOR APRIL 1, 2015.
FILED IN THE OFFICE OF THE SECRETARY OF STATE APRIL 2, 2015.
