Oregon Administrative Rules
Chapter 836 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, INSURANCE REGULATION
Division 53 - HEALTH BENEFIT PLANS
Section 836-053-0025 - Insulin
Universal Citation: OR Admin Rules 836-053-0025
Current through Register Vol. 63, No. 9, September 1, 2024
(1) "Type of insulin" means various types of insulin analogs and insulin-like medications, regardless of activation period or whether the solution is mixed before or after dispensation.
(2) For plan years starting January 1, 2024, a health benefit plan offered in this state may not require an enrollee in the plan to incur cost-sharing or other out-of-pocket costs for a type of insulin prescribed for the treatment of diabetes that exceed:
(a) $85 for each 30-day
supply; or
(b) $255 for each 90-day
supply.
Statutory/Other Authority: ORS 731.244
Statutes/Other Implemented: ORS 743A.069
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