Sec. 21.42.425. Coverage for prescription topical eye medication.
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Sec. 21.42.425. Coverage for prescription topical eye medication.
(a)A health care insurer that offers, issues for delivery, delivers, or renews a health care insurance plan in the group or individual market in the state that provides coverage for prescription topical eye medication shall allow the early refill of a prescription for a topical eye medication to treat a chronic condition before the last day of the prescribed dosage period, without regard to a coverage restriction.
(b)A covered person may request an early refill under this section
(1)not earlier than 23 days after a prescription for a 30-day supply is dispensed;
(2)not earlier than 45 days after a prescription for a 60-day supply is dispensed;
(3)not earlier than 68 days after a prescription for a 90-day supply is dispensed;
(4)if the prescriber has indicated the number of refills needed; and
(5)if the prescription topical eye medication being refilled is covered under the covered person's policy.
(c)A covered person may receive an early refill under this section not more than once during the approved dosage period.
(d)A covered person may only receive an early refill under this section if the refill does not exceed the number of refills prescribed.