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§ 15-845. Coverage for refills of prescription eye drops

MD Ins Code § 15-845 (2019) (N/A)
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(a)    This section applies to:

(1)    insurers and nonprofit health service plans that provide coverage for prescription eye drops under health insurance policies or contracts that are issued or delivered in the State; and

(2)    health maintenance organizations that provide coverage for prescription eye drops under contracts that are issued or delivered in the State.

(b)    An entity subject to this section shall provide coverage for a refill of prescription eye drops:

(1)    in accordance with guidance for early refills of topical ophthalmic products provided to Medicare Part D plan sponsors by the Centers for Medicare and Medicaid Services; and

(2)    if:

(i)    the prescribing health care practitioner indicates on the original prescription that additional quantities of the prescription eye drops are needed;

(ii)    the refill requested by the insured does not exceed the number of additional quantities indicated on the original prescription by the prescribing health care practitioner; and

(iii)    the prescription eye drops prescribed by the health care practitioner are a covered benefit under the policy or contract of the insured.

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