Arizona § 20-848 Prescriptions; cost sharing; refills; dispensing fees; definition

Arizona Statutes

§ 20-848 — Prescriptions; cost sharing; refills; dispensing fees; definition

Arizona·Title 20 Arizona Revised Statutes·Ch. 4 PARTICULAR TYPES OF INSURERS·Art. 3 Hospital, Medical, Dental and Optometric Service Corporations

A.A subscription contract that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs:

1.May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the contract that is dispensed by a network pharmacy for less than the standard refill amount if the subscriber requests enrollment into a medication synchronization program and less than the standard refill amount for the purpose of synchronizing the subscriber's medications.

2.Shall accept early refill and short fill requests for prescription drugs using the submission clarification and message codes as adopted by the national council for prescription drug plans or alternative codes provided by the plan upon July 3, 2015.

B.For the purposes of this sectio

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A. A subscription contract that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs:

1. May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the contract that is dispensed by a network pharmacy for less than the standard refill amount if the subscriber requests enrollment into a medication synchronization program and less than the standard refill amount for the purpose of synchronizing the subscriber's medications.

2. Shall accept early refill and short fill requests for prescription drugs using the submission clarification and message codes as adopted by the national council for prescription drug plans or alternative codes provided by the plan upon July 3, 2015.

B. For the purposes of this section, "medication synchronization" means the coordination of medication refills for a patient taking two or more medications for a chronic condition that are being dispensed by a single contracted pharmacy to facilitate the synchronization of the patient's medications for the purpose of improving medication adherence.

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