2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514L - UNIFORM PRESCRIPTION DRUG INFORMATION CARD
514L.2 - UNIFORM PRESCRIPTION DRUG INFORMATION CARDS.

        514L.2  UNIFORM PRESCRIPTION DRUG INFORMATION CARDS.

         1. a.  A provider of third-party payment or prepayment of
      prescription drug expenses, including the provider's agents or
      contractors and pharmacy benefits managers, that issues a card or
      other technology for claims processing and an administrator of the
      payor, excluding administrators of self-funded employer sponsored
      health benefit plans qualified under the federal Employee Retirement
      Income Security Act of 1974, shall issue to its insureds a card or
      other technology containing uniform prescription drug information.
      The commissioner of insurance shall adopt rules for the uniform
      prescription drug information card or technology applicable to those
      entities subject to regulation by the commissioner of insurance.  The
      director of public health shall adopt rules for the uniform
      prescription drug information card or technology applicable to
      organized delivery systems.  The rules shall require at least both of
      the following regarding the card or technology:
         (1)  With respect to the information required, be consistent with
      the guide, except that the address of the pharmacy benefits manager
      shall not be required.
         (2)  With respect to the location of the information required, be
      substantially consistent with the guide.
         b.  Any information on the card shall be formatted and
      arranged in a manner that corresponds to the current content and
      format required by the provider for processing of claims.
         2.  A new uniform prescription drug information card or
      technology, as required pursuant to subsection 1, shall be issued by
      a provider of third-party payment or prepayment or the provider's
      agents or contractors or pharmacy benefits managers upon enrollment
      and reissued upon any change in the insured's coverage that impacts
      data contained on the card or technology.  The commissioner of
      insurance shall review the national council for prescription drug
      programs implementation guide or successor document on an ongoing
      basis to determine changes, and shall modify or adopt rules as
      determined appropriate.
         3.  The card or other technology may be used for any health
      insurance or health benefits coverage and nothing in this chapter
      shall require a provider to issue a separate card for prescription
      drug coverage if the card or other technology can accommodate the
      information necessary to process claims.
         4.  This chapter shall not apply to prescription drug coverage
      provided through or in conjunction with any of the following:
         a.  Accident-only or disability income insurance coverage.
         b.  Hospital confinement indemnity coverage.
         c.  Coverage issued as a supplement to liability insurance.
         d.  Basic hospital and medical-surgical expense coverage.
         e.  Liability insurance, including general liability insurance
      and automobile liability insurance.
         f.  Workers' compensation or similar insurance.
         g.  Automobile medical payment insurance.
         h.  Credit only insurance.
         i.  Coverage for on-site medical clinic care.
         j.  Dental or vision coverage.
         k.  Benefits for long-term care, nursing home care, or
      community-based care.
         l.  Short-term hospital, medical, or major medical coverage.
         m.  Medicare supplemental as defined pursuant to 42 U.S.C. §
      1395ss(g)(1), coverage supplemental to the coverage provided under 10
      U.S.C. § 1071--1109, and similar coverage that is supplemental to
      coverage under group health insurance coverage as defined by the
      commissioner of insurance.
         n.  Any other similar limited benefits as defined by the
      commissioner of insurance.  

         2001 Acts, ch 77, §2