Senate File 2261 S-5058 Amend Senate File 2261 as follows: 1 1. By striking everything after the enacting clause 2 and inserting: 3 < Section 1. NEW SECTION . 514C.5A Prescription drug 4 medication synchronization. 5 1. A carrier, as defined in section 513B.2, that 6 provides prescription drug coverage through a policy 7 or contract delivered, issued for delivery, continued, 8 or renewed on or after January 1, 2017, shall offer 9 medication synchronization services that allow for the 10 alignment of refill dates for a covered individual’s 11 prescription drugs that are a covered benefit. Such 12 carrier shall comply with all of the following: 13 a. Shall not deny coverage and shall prorate the 14 cost sharing rate for a prescription drug that is a 15 covered benefit and is dispensed by a network pharmacy 16 in less than the standard refill amount, if the covered 17 individual requests both enrollment in a medication 18 synchronization program and a less-than-standard refill 19 amount for the purposes of medication synchronization. 20 b. Shall accept early refill and short fill 21 requests for prescription drugs using the submission 22 clarification and message codes adopted by the national 23 council for prescription drug plans or alternative 24 codes specified by the carrier. 25 c. Shall pay the ingredient cost and the dispensing 26 fee in accordance with the contracted rate for each 27 submitted claim, regardless of the days’ supply 28 specified in the claim submitted. 29 2. For purposes of this section, “medication 30 synchronization” means the coordination of medication 31 refills for a patient taking two or more medications 32 for a chronic condition that are dispensed by a single 33 network pharmacy to facilitate the synchronization 34 of an individual’s medications for the purpose of 35 -1- SF2261.2931 (1) 86 pf/nh 1/ 2 #1.
improving medication adherence. > 1 ______________________________ STEVEN J. SODDERS -2- SF2261.2931 (1) 86 pf/nh 2/ 2