Delaware General Assembly

Signed 7/23/13

The General Assembly has ended, the current status is the final status.

SB 35

6/6/13

Henry

Reps. Q. Johnson, Keeley

Sen. Blevins, Sokola, Venables
Reps. Barbieri, Dukes, D.E. Williams, K. Williams

AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO SPECIALTY TIER PRESCRIPTION DRUG COVERAGE.

This Bill imposes dollar limits on the health plan practice of prescription drug cost-sharing known as specialty tiers, in order to protect patients from unaffordable co-insurance or co-payment amounts. Patients’ co-insurance or co-payment fees for specialty tier drugs will be limited to $150 per month for up to a 30-day supply of any single specialty tier drug. Patients will also be able to request an exception to obtain a specialty drug that would not otherwise be available on a health plan formulary. The bill goes into effect on January 1, 2014.

79:133

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