Conditions of Coverage

  1. Law
  2. Georgia Code
  3. Insurance
  4. Coverage for Certain Types of Anti-Cancer Drug Therapy
  5. Conditions of Coverage

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An insurance policy that provides coverage for drugs may not exclude coverage of a covered drug on the grounds that the drug has not been approved by the federal Food and Drug Administration for the particular indication if any of the following conditions are met:

  1. The drug is recognized for treatment of the indication in at least one standard reference compendium;
  2. The drug is recommended for that particular type of cancer and found to be safe and effective in formal clinical studies, the results of which have been published in a peer reviewed professional medical journal published in either the United States or Great Britain.

(Code 1981, §33-53-2, enacted by Ga. L. 1993, p. 539, § 1.)

Code Commission notes.

- Pursuant to Code Section 28-9-5, in 1993, "peer reviewed" was substituted for "peer-reviewed" in paragraph (2).


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