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§ 15-858. Prescription drugs used as postexposure prophylaxis for prevention of HIV infection

West's Annotated Code of MarylandInsuranceEffective: January 1, 2023

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
Effective: January 1, 2023
MD Code, Insurance, § 15-858
§ 15-858. Prescription drugs used as postexposure prophylaxis for prevention of HIV infection
Currentness
Application of section
(a)(1) This section applies to:
(i) insurers and nonprofit health service plans that provide coverage for prescription drugs under individual, group, or blanket health insurance policies or contracts that are issued or delivered in the State; and
(ii) health maintenance organizations that provide coverage for prescription drugs under individual or group contracts that are issued or delivered in the State.
(2) An insurer, a nonprofit health service plan, or a health maintenance organization that provides coverage for prescription drugs through a pharmacy benefits manager is subject to the requirements of this section.
Prior authorization requirement prohibited
(b) An entity subject to this section may not apply a prior authorization requirement for a prescription drug used as postexposure prophylaxis for the prevention of HIV if the prescription drug is prescribed for use in accordance with Centers for Disease Control and Prevention guidelines.

Credits

Added by Acts 2022, c. 684, § 1, eff. Jan. 1, 2023.
MD Code, Insurance, § 15-858, MD INSURANCE § 15-858
Current with legislation effective through October 1, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document