Oregon § 743B.601 Synchronization of prescription drug refills

Oregon Statutes

§ 743B.601 — Synchronization of prescription drug refills

Oregon § 743B.601

Vol.18

Title 56Insurance

Ch. 743BHealth Benefit Plans: Individual and Group

This text of Oregon § 743B.601 (Synchronization of prescription drug refills) 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.601 (2026).

Text

(1)As used in this section:

(a)“Health plan” means:

(A)A “health benefit plan” as defined in ORS 743B.005; and

(B)A self-insured health plan offered by the Oregon Health and Science University.

(b)“Synchronization policy” means a procedure for aligning the refill dates of a patient’s prescription drugs so that drugs that are refilled at the same frequency may be refilled concurrently.

(2)A health plan that includes prescription drug coverage shall implement a synchronization policy for the dispensing of prescription drugs to the plan’s enrollees.

(3)A health plan shall reimburse the cost of prescription drugs dispensed in accordance with the plan’s synchronization policy.

(4)If a drug is dispensed in less than a 30-day supply for the purpose of synchronizing a patient’s prescriptio

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(1) As used in this section:
(a) “Health plan” means:
(A) A “health benefit plan” as defined in ORS 743B.005; and
(B) A self-insured health plan offered by the Oregon Health and Science University.
(b) “Synchronization policy” means a procedure for aligning the refill dates of a patient’s prescription drugs so that drugs that are refilled at the same frequency may be refilled concurrently.
(2) A health plan that includes prescription drug coverage shall implement a synchronization policy for the dispensing of prescription drugs to the plan’s enrollees.
(3) A health plan shall reimburse the cost of prescription drugs dispensed in accordance with the plan’s synchronization policy.
(4) If a drug is dispensed in less than a 30-day supply for the purpose of synchronizing a patient’s prescription drug refills, a health plan shall:
(a) Prorate the copayment; or
(b) Adjust the copayment using a method approved by the Department of Consumer and Business Services.
(5) A health plan shall fully reimburse the dispensing fee for partially filled or refilled prescription drugs.
(6) This section does not apply to prescription drugs that:
(a) Are in unit-of-use packaging for which synchronization is not possible;
(b) Are controlled substances; or
(c) Have been identified by the United States Drug Enforcement Administration as having a high risk of diversion.
(7) The coverage required by this section may be limited by formulary restrictions applied to a prescription drug by a health plan.
(8)(a) This section does not apply to a prepaid group practice health plan with at least 200,000 enrollees in this state.
(b) As used in this subsection, “prepaid group practice health plan” means a health care service contractor that provides physician services to its enrollees through an integrated health care delivery system using, primarily, a single group of physicians contracted on a prepaid, capitated basis.