ORS 743B.601 Synchronization of Prescription Drug Refills

• Library: Oregon Statutes
• Edition: 2023
• Currency: Current through legislation effective January 1, 2024
• Year: 2023
• Citation: ORS 743B.601

(1) As used in this section:

(a) "Health plan" means:

(A) A "health benefit plan" as defined in ORS 743B.005; and

(B) A self-insured health plan offered by the Oregon Health and Science University.

(b) "Synchronization policy" means a procedure for aligning the refill dates of a patient's prescription drugs so that drugs that are refilled at the same frequency may be refilled concurrently.

(2) A health plan that includes prescription drug coverage shall implement a synchronization policy for the dispensing of prescription drugs to the plan's enrollees.

(3) A health plan shall reimburse the cost of prescription drugs dispensed in accordance with the plan's synchronization policy.

(4) If a drug is dispensed in less than a 30-day supply for the purpose of synchronizing a patient's prescription drug refills, a health plan shall:

(a) Prorate the copayment; or

(b) Adjust the copayment using a method approved by the Department of Consumer and Business Services.

(5) A health plan shall fully reimburse the dispensing fee for partially filled or refilled prescription drugs.

(6) This section does not apply to prescription drugs that: