Oregon § 743B.425 Prohibited restrictions on coverage of treatment for opioid or opiate withdrawal, post-exposure and preexposure prophylactic antiretroviral drugs and drugs for treatment of human immunodeficiency virus or acquired immunodeficiency syndrome; exceptions

Oregon Statutes

§ 743B.425 — Prohibited restrictions on coverage of treatment for opioid or opiate withdrawal, post-exposure and preexposure prophylactic antiretroviral drugs and drugs for treatment of human immunodeficiency virus or acquired immunodeficiency syndrome; exceptions

Oregon § 743B.425

Vol.18

Title 56Insurance

Ch. 743BHealth Benefit Plans: Individual and Group

This text of Oregon § 743B.425 (Prohibited restrictions on coverage of treatment for opioid or opiate withdrawal, post-exposure and preexposure prophylactic antiretroviral drugs and drugs for treatment of human immunodeficiency virus or acquired immunodeficiency syndrome; exceptions) is published on Counsel Stack Legal Research, covering Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Or. Rev. Stat. § 743B.425 (2026).

Text

(1)An insurer offering a health benefit plan may not:

(a)Require prior authorization:

(A)During the first 60 days of treatment, including medication therapy, prescribed for opioid or opiate withdrawal; or

(B)For post-exposure prophylactic antiretroviral drugs or preexposure prophylactic antiretroviral drugs, or drugs prescribed for the treatment of human immunodeficiency virus or acquired immunodeficiency syndrome; or

(b)Restrict the reimbursement for medication therapies, preexposure prophylactic antiretroviral drugs or post-exposure prophylactic antiretroviral drugs to in-network pharmacists or pharmacies.

(2)This section is not subject to ORS 743A.001.

(3)This section does not prohibit prior authorization for opioids or opiates prescribed for purposes other than medication therap

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(1) An insurer offering a health benefit plan may not:
(a) Require prior authorization:
(A) During the first 60 days of treatment, including medication therapy, prescribed for opioid or opiate withdrawal; or
(B) For post-exposure prophylactic antiretroviral drugs or preexposure prophylactic antiretroviral drugs, or drugs prescribed for the treatment of human immunodeficiency virus or acquired immunodeficiency syndrome; or
(b) Restrict the reimbursement for medication therapies, preexposure prophylactic antiretroviral drugs or post-exposure prophylactic antiretroviral drugs to in-network pharmacists or pharmacies.
(2) This section is not subject to ORS 743A.001.
(3) This section does not prohibit prior authorization for opioids or opiates prescribed for purposes other than medication therapy or treatment of opioid or opiate abuse or addiction.
(4) Subsection (1)(b) of this section does not apply to a health maintenance organization as defined in ORS 750.005.