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§ 7321. Health benefit plans to allow coverage for drugs to treat advanced metastatic cancer an...

Oklahoma Statutes AnnotatedTitle 63. Public Health and SafetyEffective: November 1, 2023

Oklahoma Statutes Annotated
Title 63. Public Health and Safety (Refs & Annos)
Chapter 86. Step Therapy Protocol
Effective: November 1, 2023
63 Okl.St.Ann. § 7321
§ 7321. Health benefit plans to allow coverage for drugs to treat advanced metastatic cancer and associated conditions without proving step therapy
A. A health benefit plan that provides coverage for advanced metastatic cancer and associated conditions may not require, before the health benefit plan provides coverage of a prescription drug approved by the United States Food and Drug Administration, that the enrollee:
1. Fails to successfully respond to a different drug; or
2. Proves a history of failure of a different drug.
B. This section applies only to a drug, the use of which is:
1. Consistent with best practices for the treatment of advanced metastatic cancer or an associated condition;
2. Supported by peer-reviewed, evidence-based literature; and
3. Approved by the United States Food and Drug Administration.

Credits

Laws 2023, c. 81, § 2, eff. Nov. 1, 2023.
63 Okl. St. Ann. § 7321, OK ST T. 63 § 7321
Current with emergency effective legislation through Chapter 257 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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