Indiana § 27-8-20-7 Exclusion of coverage for drugs not approved by the FDA; limitations

Indiana Statutes

§ 27-8-20-7 — Exclusion of coverage for drugs not approved by the FDA; limitations

Indiana·Title 27 INSURANCE·Art. 8 LIFE, ACCIDENT, AND HEALTH·Ch. 20 Reimbursement for Off Label Drug Treatment

An insurance policy or a health maintenance organization that provides coverage for drugs may not exclude coverage of a covered drug for a particular indication on the grounds that the drug has not been approved by the federal Food and Drug Administration for the particular indication if any of the following conditions are met:

(1)The drug is recognized for treatment of the indication in at least one (1) standard reference compendium.

(2)The drug is recommended for that particular type of cancer and found to be safe and effective in formal clinical studies, the results of which have been published in a peer reviewed professional medical journal published in the United States or Great Britain.

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An insurance policy or a health maintenance
organization that provides coverage for drugs may not exclude
coverage of a covered drug for a particular indication on the grounds
that the drug has not been approved by the federal Food and Drug
Administration for the particular indication if any of the following
conditions are met:
(1) The drug is recognized for treatment of the indication in at
least one (1) standard reference compendium.
(2) The drug is recommended for that particular type of cancer
and found to be safe and effective in formal clinical studies, the
results of which have been published in a peer reviewed
professional medical journal published in the United States or
Great Britain.

Indiana § 27-8-20-7 (Exclusion of coverage for drugs not approved by the FDA; limitations) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.