Coverage for Prescription Eye Drops — Refills

1. Law
2. Tennessee Code
3. Insurance
4. Policies and Policyholders
5. Mandated Insurer or Plan Coverage
6. Coverage for Prescription Eye Drops — Refills

A policy or contract for a health benefit plan, as defined in §56-7-2203, that is issued, renewed, or entered into on or after January 1, 2018, and provides coverage for prescription eye drops shall not deny coverage for a refill of a prescription that is a covered benefit under the policy or contract of the insured and is otherwise eligible for a refill if:

1. The renewal is requested by the insured for a thirty-day supply of the drug at least twenty-three (23) days from:
   1. The original date the prescription was dispensed to the insured; or
   2. The date the most recent refill was dispensed to the insured;
2. The renewal is requested by the insured for a sixty-day supply of the drug at least forty-five (45) days from:
   1. The original date the prescription was dispensed to the insured; or
   2. The date the most recent refill was dispensed to the insured; or
3. The renewal is requested by the insured for a ninety-day supply of the drug at least sixty-eight (68) days from:
   1. The original date the prescription was dispensed to the insured; or
   2. The date the most recent refill was dispensed to the insured.

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