HB 1879-S - DIGEST
(DIGEST OF PROPOSED 1ST SUBSTITUTE)

Requires clinical review criteria used to establish a prescription drug utilization management protocol be evidence-based.

Requires a health carrier or review organization that restricts coverage of a prescription drug through a prescription drug utilization management protocol to provide the patient and the prescribing practitioner with access to a clear, readily accessible, and convenient process to request an exception.

Establishes requirements and timelines for step therapy exception requests.