Montana § 33-32-222 Prohibition On Prior Authorization Requirements For Prescriptions Written At Discharge From Inpatient Care

Montana Statutes

§ 33-32-222 — Prohibition On Prior Authorization Requirements For Prescriptions Written At Discharge From Inpatient Care

Montana·Title 33 INSURANCE AND INSURANCE COMPANIES·Ch. 32 HEALTH UTILIZATION REVIEW·Part 2 Utilization Review -- Conduct

33-32-222 . Prohibition on prior authorization requirements for prescriptions written at discharge from inpatient care.

(1)A prescription written for an inpatient and patient under observation at the time of discharge requiring a prior authorization may not be subject to prior authorization requirements and must be immediately approved for not less than 3 days, provided that:

(a)the cost of the medication does not exceed $5,000 a day; and

(b)the physician shall note on the prescription or notify the pharmacy that the prescription is being provided at discharge.

(2)Approval beyond 3 days is subject to prior authorization review under 33-32-212 .

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33-32-222 . Prohibition on prior authorization requirements for prescriptions written at discharge from inpatient care. (1) A prescription written for an inpatient and patient under observation at the time of discharge requiring a prior authorization may not be subject to prior authorization requirements and must be immediately approved for not less than 3 days, provided that:
(a) the cost of the medication does not exceed $5,000 a day; and
(b) the physician shall note on the prescription or notify the pharmacy that the prescription is being provided at discharge.
(2) Approval beyond 3 days is subject to prior authorization review under 33-32-212 .

Montana § 33-32-222 (Prohibition On Prior Authorization Requirements For Prescriptions Written At Discharge From Inpatient Care) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.