Montana Title 33. Insurance and Insurance Companies § 33-32-109. Biologic prescriptions for minors

(1) Biologic therapies may be prescribed by a treating provider for individuals under 18 years of age as provided in this section.  The biologic therapies must meet the following requirements:

(2) Upon receipt of the request for prior authorization and medical records supporting the request and the literature described in section (1)(b), an entity covered under the provisions of this chapter performing a utilization review must approve or deny a request for prior authorization for biologic therapies under subsection (1) in the timeframe set forth in this chapter.

(3) For the purposes of this section, the term “biologic therapies” means a treatment that uses substances made from living organisms to treat disease.  These substances may be made in a laboratory or occur naturally in the body.