Insights

Coverage for Partial Supply of Prescription Drugs


On May 25, 2017, Gov. Hogan signed SB 898 into law. Under the new law, insurers that provide prescription drug coverage must allow insureds to receive a partial supply of a prescription from an in-network pharmacy. The copayment or coinsurance must be prorated accordingly. The prescribing health care provider or pharmacist must determine that dispensing a partial supply is in the best interest of the participant and the purpose is to synchronize the dispensing of the participant’s prescription drugs. The drug must be anticipated to be required for more than three months and is not a Schedule II controlled dangerous substance. The new law is effective for policies issued or renewed on or after Jan. 1, 2019.

SB 898 »