Colorado Revised Statutes Title 10. Insurance § 10-16-1408. Colorado prescription drug affordability review board--judicial review

(a) Identification of eligible prescription drugs pursuant to section 10-16-1406(1);

(b) Selection of a prescription drug pursuant to section 10-16-1406(2); and

(c) Determination that a prescription drug is unaffordable pursuant to section 10-16-1406(3).

(a) An individual may request an expedited review, as described in section 10-16-113.5, of access to a prescription drug that is unavailable to the individual because a manufacturer refuses to make the drug available as a result of an upper payment limit established for the prescription drug by the board; and

(b) A carrier may disregard the upper payment limit if the independent external review entity that performs the expedited review determines pursuant to such review that the prescription drug should be covered for and available to that individual.