BY adding to
Article—Insurance
Section 15-126
Annotated Code of Maryland
(1997 Volume and 1998 Supplement)
BY adding to
Article—Health—General
Section 19-706(ff)
Annotated Code of Maryland
(1996 Replacement Volume and 1998 Supplement)
BY repealing and reenacting, with amendments,
Article - Health - General
Section 19-1508(c)
Annotated Code of Maryland
(1996 Replacement Volume and 1998 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Insurance
15-126.
(A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.
(2) "AUTHORIZED PRESCRIBER" HAS THE MEANING STATED IN § 12-101
OF THE HEALTH OCCUPATIONS ARTICLE.
(3) "FORMULARY" MEANS A LIST OF PRESCRIPTION DRUGS THAT ARE
COVERED BY AN ENTITY SUBJECT TO THIS SECTION.
(4) (I) "MEMBER" MEANS AN INDIVIDUAL ENTITLED TO HEALTH CARE
BENEFITS UNDER A POLICY OR CONTRACT DELIVERED OR ISSUED FOR DELIVERY IN
THE STATE BY AN ENTITY SUBJECT TO THIS SECTION.
(II) "MEMBER" INCLUDES A SUBSCRIBER
(B) THIS SECTION APPLIES TO:
(1) INSURERS AND NONPROFIT HEALTH SERVICE PLANS THAT:
(I) PROVIDE COVERAGE FOR PRESCRIPTION DRUGS UNDER
HEALTH INSURANCE POLICIES OR CONTRACTS THAT ARE DELIVERED OR ISSUED
FOR DELIVERY IN THE STATE TO EMPLOYERS OR INDIVIDUALS ON A GROUP OR
INDIVIDUAL BASIS; AND
(II) LIMIT COVERAGE OF PRESCRIPTION DRUGS TO THOSE IN A
FORMULARY; AND
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