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Current as of January 02, 2024 | Updated by Findlaw Staff
As used in this part:
(1) “Health benefit plan” has the same meaning as defined in § 56-61-102;
(2) “Health carrier” has the same meaning as defined in § 56-61-102;
(3) “Healthcare provider” has the same meaning as defined in § 56-61-102;
(4) “Interchangeable biological product” means a biological product licensed by the federal food and drug administration and determined to meet the safety standards for determining interchangeability pursuant to 42 U.S.C. § 262(k)(4);
(5) “Pharmaceutical sample” means a unit of a prescription drug that is not intended to be sold;
(6) “Prescription drug” means a drug that under federal or state law is required to be dispensed only pursuant to a prescription order or is restricted to use by individuals authorized by law to prescribe drugs;
(7) “Required prescription drug” means a medication that is required as part of a step therapy protocol;
(8) “Step therapy exception” occurs when a step therapy protocol is overridden in favor of immediate coverage of the healthcare provider's selected prescription drug;
(9) “Step therapy protocol” means a protocol, policy, or program that establishes a specific sequence in which prescription drugs for a specified medical condition, and medically appropriate for a particular patient, are covered by a health carrier or health benefit plan; and
(10) “Utilization review organization” means an entity that conducts utilization review, as defined in § 56-6-703, other than a health carrier or health benefit plan performing utilization review for its own health plans.
Cite this article: FindLaw.com - Tennessee Code Title 56. Insurance § 56-7-3501 - last updated January 02, 2024 | https://codes.findlaw.com/tn/title-56-insurance/tn-code-sect-56-7-3501/
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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