62A.3095 PRESCRIPTION EYE DROPS COVERAGE.

219 words·~1 min read·/mn/chapter-62/62a-3095

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Subdivision 1. Scope of coverage.

This section applies to all health plans, as defined in section 62A.011, subdivision 3 , that provide coverage to Minnesota residents.

Subd. 2. Required coverage.

(a)Every health plan included in subdivision 1 that provides coverage for prescription eye drops shall not deny coverage for a refill of the prescription eye drops if the refill is requested by the person insured by the health plan, pursuant to paragraph (b), and if the prescribing practitioner indicated on the original prescription that additional quantities are needed and the refill requested by the insured does not exceed the number of additional quantities needed.

(b)Coverage shall only be provided pursuant to paragraph

(a)if the insured makes a refill request for:

(1)a 30-day refill supply and the request is made between 21 and 30 days from the later of:

(i)the original date that the prescription was distributed to the insured; or

(ii)the date the most recent refill was distributed to the insured; or

(2)a 90-day refill supply and the request is made between 75 and 90 days from the later of:

(i)the original date that the prescription was distributed to the insured; or

(ii)the date the most recent refill was distributed to the insured.