A 1869 New Jersey General Assembly · 2024-2025 Regular Session

Requires health insurance carriers to provide list of alternative drugs to health care professionals, pharmacists, and covered persons under certain circumstances.

This bill requires health insurance companies in New Jersey to provide pharmacists with a list of covered alternative drugs when they deny coverage for a prescribed medication. The list must include drugs that are therapeutically equivalent and interchangeable with the denied drug, and must be sent to the pharmacy's point-of-sale system at the time of denial, along with the denial notice. It applies to all health insurance plans covering prescription drugs and directly affects insurers, pharmacists, and patients who face coverage denials. The goal is to streamline access to covered alternatives without requiring patients to seek new prescriptions.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Sterley Stanley
Sterley Stanley
DDemocratic
NJ
18