ORS 743B.425 Prior Authorization Prohibited For First 60 Days of Treatment For Opioid Or Opiate Withdrawal and For Post-Exposure Prophylactic Antiretroviral Drugs; Exceptions

• Library: Oregon Statutes
• Edition: 2023
• Currency: Current through legislation effective January 1, 2024
• Year: 2023
• Citation: ORS 743B.425

(1) An insurer offering a health benefit plan as defined in ORS 743B.005 may not:

(a) Require prior authorization:

(A) During the first 60 days of treatment, including medication therapy, prescribed for opioid or opiate withdrawal; or

(B) For post-exposure prophylactic antiretroviral drugs or at least one preexposure prophylactic antiretroviral drug; or

(b) Restrict the reimbursement for medication therapies, preexposure prophylactic antiretroviral drugs or post-exposure prophylactic antiretroviral drugs to in-network pharmacists or pharmacies.

(2) This section is not subject to ORS 743A.001.