SB 0782 Revises definition of maintenance drugs under HMO coverage
Sponsor:Howard
LR Number:S2429.01I Fiscal Note:2429-01
Committee:Aging, Families and Mental Health
Last Action:02/17/98 - SCS Voted Do Pass S Aging, Families & Mental Health Journal page:
Committee
Title:
Effective Date:August 28, 1998
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Current Bill Summary

SCS/SB 782 - This act amends one section contained in HB 335 (1997), relating to the definition of maintenance drugs covered under a health maintenance organization (HMO). Under current law, both the enrollee and the enrollee's physician must approve the substitution of a generic drug for a prescribed maintenance drug. The law excludes "narrow therapeutic index drugs" from the definition of maintenance drugs to allow generic substitution for these drugs without physician/enrollee approval.

This act removes language that indirectly allows generic substitution for narrow therapeutic index. Physician/enrollee approval will be required prior to a therapeutic, generic, or drug product substitution of an enrollee's maintenance drug.
JOHN MESSMER