RSA 415:18-z · Coverage for Early Refills of Prescription Eye Drops

415:18-z Coverage for Early Refills of Prescription Eye Drops. –

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I.

Each insurer that issues or renews any policy of group or blanket accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for one early refill of a prescription for eye drops if the following criteria are met:

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(a)

For prescription eye drops dispensed as a 30-day supply, the enrollee requests the refill no earlier than 21 days after the later of the following dates:

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(1)

The date the original prescription was dispensed to the enrollee; or

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(2)

The date that the most recent refill of the prescription was dispensed to the enrollee;

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(b)

For prescription eye drops dispensed as a 90-day supply, the enrollee requests the refill no earlier than 63 days after the later of the following dates:

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(1)

The date the original prescription was dispensed to the enrollee; or

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(2)

The date that the most recent refill of the prescription was dispensed to the enrollee;

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(c)

The prescribing health care provider indicated on the original prescription that a specific number of refills are authorized;

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(d)

The refill requested by the enrollee does not exceed the number of refills indicated on the original prescription;

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(e)

The prescription has not been refilled more than once during the 30-day or 90-day period prior to the request for an early refill; and

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(f)

The prescription eye drops are a covered benefit under the enrollee's health plan.

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II.

Benefits provided under this section shall not be subject to any greater copayment, deductible, or coinsurance than any other similar benefits provided by the insurer. Source. 2016, 326:2, eff. Aug. 23, 2016.

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