Changes to Existing Law
HB1085 — Establish provisions for the coverage of nonopioid prescription drugs.
1 section modified+1015-0
View:
§ 58-17
New Section+1015
NEW SECTION added to Chapter 58-17
A policy of health insurance subject to this chapter and delivered, issued for delivery, or renewed in this state, may not deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug if a licensed physician or other authorized health care practitioner has prescribed a nonopioid drug for the treatment of pain. A health insurer may not, for a clinically appropriate nonopioid drug, establish prior authorization requirements, step therapy requirements, or other utilization controls, that are more restrictive or extensive than the least restrictive or extensive requirements or controls applicable to any clinically appropriate opioid or narcotic drug or other controlled substance. If a health insurer maintains a formulary that groups prescription drugs into tiers for the purpose of cost sharing, the insurer may not place any nonopioid drugs on a tier with a cost sharing responsibility that exceeds the lowest cost sharing responsibility required for any opioid or narcotic drug. 16