Illinois Statutes Chapter 215. Insurance § 125/2-3.1. Drugs and drug products

§ 2-3.1. (a) No health maintenance organization shall cause to be dispensed any drug other than that prescribed by a physician. Nothing herein shall prohibit drug product selection under Section 3.14 of the “Illinois Food, Drug and Cosmetic Act”, approved June 29, 1967, as amended,  1 and in accordance with the requirements of Section 25 of the “Pharmacy Practice Act ”, approved September 24, 1987, as amended.  2

(b) No health maintenance organization shall include in any contract with any physician providing for health care services any provision requiring such physician to prescribe any particular drug product to any enrollee unless the enrollee is a hospital in-patient where such drug product may be permitted pursuant to written guidelines or procedures previously established by a pharmaceutical or therapeutics committee of a hospital, approved by the medical staff of such hospital and specifically approved, in writing, by the prescribing physician for his or her patients in such hospital, and unless it is compounded, dispensed or sold by a pharmacy located in a hospital, as defined in Section 3 of the Hospital Licensing Act  3 or a hospital organized under “An Act in relation to the founding and operation of the University of Illinois Hospital and the conduct of University of Illinois health care programs”, approved July 3, 1931, as amended.  4