§1060.7. Prescription medication for chronic pain
A. Notwithstanding any provision of law to the contrary, when a licensed physician prescribes a nonopioid medication for the treatment of chronic pain, it shall be unlawful for a health insurance issuer to deny coverage of the nonopioid prescription drug in favor of an opioid prescription drug.
B. When an opioid prescription is deemed medically necessary and prescribed by a licensed physician, it shall be unlawful for an insurer to deny a prescribed medication and attempt to substitute an alternative medication that requires any of the following:
(1) An increased number of pills per prescription.
(2) A higher Drug Enforcement Administration schedule medication than the one prescribed.
(3) The substitution of an extended release medication that does not have defined abuse deterrent properties for a prescription of a medication that does have defined abuse deterrent properties.
Acts 2018, No. 372, §1; Acts 2018, No. 372, §1.
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