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Current as of January 02, 2024 | Updated by Findlaw Staff
Sec. 18. (a) The definitions in section 17 of this chapter apply throughout this section.
(b) This section applies to a state employee health plan that uses a formulary, cost sharing, or utilization review for prescription drug coverage.
(c) A state employee health plan shall not remove a prescription drug from the state employee health plan's formulary, change the cost sharing requirements that apply to a prescription drug, or change the utilization review requirements that apply to a prescription drug unless the state employee health plan does at least one (1) of the following:
(1) At least sixty (60) days before the removal or change is effective, send written notice of the removal or change to each covered individual for whom the prescription drug has been prescribed during the preceding twelve (12) month period.
(2) At the time a covered individual for whom the prescription drug has been prescribed during the preceding twelve (12) month period requests a refill of the prescription drug, provide to the covered individual:
(A) written notice of the removal or change; and
(B) a sixty (60) day supply of the prescription drug under the terms that applied before the removal or change.
Cite this article: FindLaw.com - Indiana Code Title 5. State and Local Administration § 5-10-8-18 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-5-state-and-local-administration/in-code-sect-5-10-8-18/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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