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2009 Kentucky Revised Statutes
Subtitle 17A. Health Benefit Plans
304.17A.165 Prescription drug coverage to include exceptions or override policy for refills of covered drugs -- Limitations and exclusions.

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Page 1 of 1 304.17A-165 Prescription drug coverage to include exceptions or override policy for refills of covered drugs -- Limitations and exclusions. (1) Any health benefit plan that provides benefits for prescription drugs shall include an exceptions policy or an override policy that provides coverage for the refill of a <br>covered drug dispensed prior to the expiration of the insured's supply of the drug. <br>The insurer shall provide notice in existing written or electronic communications to <br>pharmacies doing business with the insurer, the pharmacy benefit manager if <br>applicable, and to the insured regarding the exceptions policy or override policy. <br>This subsection shall not apply to controlled substances as classified by KRS <br>Chapter 218A. (2) Nothing in this section shall prohibit an insurer from limiting payment to no more than three (3) refills of a covered drug in a ninety (90) day period. Effective: July 12, 2006 <br>History: Created 2006 Ky. Acts ch. 213, sec. 1, effective July 12, 2006.

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