Md. Code, Ins. § 15-858

Current with changes from the 2024 Legislative Session
Section 15-858 - Prior authorization requirement for a prescription drug used as postexposure prophylaxis for the prevention of HIV
(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.
(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.

Md. Code, IN § 15-858

Added by 2022 Md. Laws, Ch. 684, Sec. 1, eff. 1/1/2023.