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Code · Washington · Title 48 — Insurance · Chapter 48.21

RCW 48.21.223

181 words·~1 min read·/wa/title-48/chapter-48-21/48-21-223

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(1)Each health plan issued or renewed on or after January 1, 2012, that provides coverage for cancer chemotherapy treatment must provide coverage for prescribed, self-administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis at least comparable to cancer chemotherapy medications administered by a health care provider or facility as defined in *RCW 48.43.005
(25)and (26).
(2)Nothing in this section may be interpreted to prohibit a health plan from administering a formulary or preferred drug list, requiring prior authorization, or imposing other appropriate utilization controls in approving coverage for any chemotherapy.
[ 2020 c 18 s 20 ; 2011 c 159 s 4 .]
Notes:
*Reviser's note: RCW 48.43.005 was alphabetized pursuant to RCW 1.08.015 (2)(k), changing subsections
(25)and
(26)to subsections
(27)and (28). Subsequently, RCW 48.43.005 was amended by 2024 c 218 s 1, changing subsections
(27)and
(28)to subsections
(29)and (30).
Explanatory statement — 2020 c 18: See note following RCW 43.79A.040 .
Findings — 2011 c 159: See note following RCW 41.05.175 .
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