New Jersey Revised Statutes § 52:14-17.29s - Shbc To Provide Coverage For Prescription Eye Drops.

52:14-17.29s SHBC to provide coverage for prescription eye drops.

9.The State Health Benefits Commission shall ensure that every contract purchased by the commission on or after the effective date of this act that provides hospital or medical expense benefits that include coverage for prescription eye drops, shall provide coverage for expenses incurred for refills of prescription eye drops in accordance with the Guidance for Early Refill Edits of Topical Ophthalmic Products provided to Medicare Part D plan sponsors by the Centers for Medicare & Medicaid Services of the U.S. Department of Health and Human Services, provided that:

(1)the prescribing health care practitioner indicates on the original prescription that additional quantities of the prescription eye drops are needed; and

(2)the refill requested by the covered person does not exceed the number of additional quantities indicated on the original prescription by the prescribing health care practitioner.

L.2013, c.50, s.9.


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Last modified: October 11, 2016