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Current as of January 01, 2025 | Updated by Findlaw Staff
1. Required coverage. A carrier offering a health plan in this State shall provide coverage for one early refill of a prescription for eye drops if the following criteria are met:
A. The enrollee requests the refill no earlier than the date on which 70% of the days of use authorized by the prescribing health care provider have elapsed;
B. The prescribing health care provider indicated on the original prescription that a specific number of refills are authorized;
C. The refill requested by the enrollee does not exceed the number of refills indicated on the original prescription;
D. The prescription has not been refilled more than once during the period authorized by the prescribing health care provider prior to the request for an early refill; and
E. The prescription eye drops are a covered benefit under the enrollee's health plan.
2. Cost sharing. A carrier may impose a deductible, copayment or coinsurance requirement for an early refill under this section as permitted under the health plan.
Cite this article: FindLaw.com - Maine Revised Statutes Title 24-A. Maine Insurance Code § 4314-A. Coverage for early refills of prescription eye drops - last updated January 01, 2025 | https://codes.findlaw.com/me/title-24-a-maine-insurance-code/me-rev-st-tit-24-a-sect-4314-a/
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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