Prescription eyedrop refills.

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A. Any health benefit plan issued or renewed on or after November 1, 2017, that provides coverage for prescription eyedrops shall not deny coverage for a refill of a prescription if:

1. For a thirty-day supply, the amount of time has passed after which a patient should have used seventy percent (70%) of the dosage units of the drug according to a practitioner's instructions, or twenty-one (21) days from:

  • a.the original date the prescription was distributed to the insured, or
  • b.the date the most recent refill was distributed to the insured;

2. The prescribing practitioner indicates on the original prescription that additional quantities are needed;

3. The refill requested by the insured does not exceed the number of additional quantities needed; and

4. The prescription eyedrops prescribed by the practitioner are a covered benefit under the policy or contract to the insured.

B. As used in this section, "health benefit plan" means any plan or arrangement as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes.

Added by Laws 2017, c. 15, § 1, eff. Nov. 1, 2017.


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