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

   (a) Scope. -- 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) In general. -- 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.

HISTORY: 2011, chs. 524, 525.