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Washington DOI Amends Rule on Emergency RX Fills


The Washington Department of Insurance amended Wash. Amend. Codes §§ 284-43-5110, 5170 and Wash. Amend. Code § 284-170-470. Previous rulemaking allows certain prescriptions to be filled on a short-term basis, but the rules did not address how consumers should be notified when such emergency fills occur. The rules clarify that an emergency fill is a covered benefit and that insurers are required to disclose their emergency fill policies to consumers, including any cost-sharing requirements, if any. Specifically, the insurer must provide a clear statement explaining that consumers may be eligible to receive an emergency fill for prescription drugs, along with the process for consumers to obtain the emergency fill and cost-sharing requirements, if any. This amendment is effective Oct. 21, 2016.

Wash. Amend. Codes §§ 284-43-5110, 5170 and Wash. Amend. Code § 284-170-470 »