Prior authorizations for opioid antagonist.

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    (a)    In this section, “opioid antagonist” means:

        (1)    naloxone hydrochloride; or

        (2)    any other similarly acting and equally safe drug approved by the federal Food and Drug Administration for the treatment of a drug overdose.

    (b)    (1)    This section applies to:

            (i)    insurers and nonprofit health service plans that provide coverage for prescription drugs under individual, group, or blanket health insurance policies or contracts that are issued or delivered in the State; and

            (ii)    health maintenance organizations that provide coverage for prescription drugs under individual or group contracts that are issued or delivered in the State.

        (2)    An insurer, a nonprofit health service plan, or a health maintenance organization that provides coverage for prescription drugs through a pharmacy benefits manager is subject to the requirements of this section.

    (c)    An entity subject to this section that includes on its formulary an opioid antagonist may apply a prior authorization requirement for an opioid antagonist only if the entity provides coverage for at least one formulation of the opioid antagonist without a prior authorization requirement.


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