August 06, 2019
On July 2, 2019, Gov. Wolf signed HB 195 into law. The new law requires policies that cover prescription drugs to provide coverage for a partial supply of a prescription drug if the prescribing provider or pharmacist determines the fill or refill to be in the best interest of the participant or for the purpose of medical synchronization. Medical synchronization occurs when there is coordination of prescription refills for a patient who is taking two or more maintenance drugs. The practice is believed to improve medication adherence. Policies are prohibited from denying a prescription refill on the basis that it is being filled too soon if the purpose is medical synchronization. Lastly, the cost-sharing for the partial supply must be prorated accordingly.
The law is effective July 2, 2020.
HB 195 »