New Rules on Copayments for Partial Prescription Refills for Opioid Products

On August 29, 2019, the Division of Insurance published Bulletin 2019-04, which relates to copayments for partial prescription fills of opioid products. According to the bulletin, carriers should take steps, in collaboration with their network pharmacies, to ensure that covered individuals who elect to fill a prescription for certain narcotic substances (opioids, as identified by the Massachusetts Department of Public Health) in a lesser quantity than prescribed should not be subject to cost-sharing and copayments when filling the remainder of the prescription.

The bulletin adds compliance obligations only for carriers, so there is no new employer requirement. But employers with fully insured plans in Massachusetts should be aware of the bulletin and the requirements, should employees ask questions regarding coverage.

Bulletin 2019-04 »