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2020 South Dakota Codified Laws
Title 58 - Insurance
Chapter 17H - Utilization Review And Benefit Determinations
Section 58-17H-53 - Step therapy protocols.
Universal Citation: SD Codified L § 58-17H-53 (2020)
58-17H-53 . Step therapy protocols.
A health carrier, health benefit plan, or utilization review organization shall consider available recognized evidence-based and peer-reviewed clinical practice guidelines when establishing a step therapy protocol. Upon written request of a covered person, a health carrier, health benefit plan, or utilization review organization shall provide any clinical review criteria applicable to a specific prescription drug covered by the health carrier, health benefit plan, or utilization review organization.
Source: SL 2020, ch 209, ยง 2.
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