§ 6060.9a. Anti-cancer medication coverage
Oklahoma Statutes AnnotatedTitle 36. Insurance
36 Okl.St.Ann. § 6060.9a
§ 6060.9a. Anti-cancer medication coverage
2. Coverage of orally administered anticancer medication shall not be subject to any prior authorization, dollar limit, copayment, deductible, or other out-of-pocket expense that does not apply to intravenously administered or injected cancer medication, regardless of formulation or benefit category determination by the company administering the health benefit plan.
3. A health benefit plan shall not reclassify or increase any type of cost-sharing to the covered person for anticancer medications in order to achieve compliance with this section. Any change in health insurance coverage that otherwise increases an out-of-pocket expense to anticancer medications shall also be applied to the majority of comparable medical or pharmaceutical benefits covered by the health benefit plan.
4. A health benefit plan that limits the total amount paid by a covered person through all cost-sharing requirements to no more than One Hundred Dollars ($100.00) per filled prescription for any orally administered anticancer medication shall be considered in compliance with this section. For purposes of this paragraph, “cost-sharing requirements” shall include copayments, coinsurance, deductibles, and any other amounts paid by the covered person for that prescription.
Credits
Laws 2013, c. 115, § 1, eff. Nov. 1, 2013.
36 Okl. St. Ann. § 6060.9a, OK ST T. 36 § 6060.9a
Current with emergency effective legislation through Chapter 277 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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