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Bureau bill would require coverage of equivalent nonformulary drugs during shortages for serious mental illness
Summary
LD 1,100 would codify a Bureau of Insurance bulletin requiring insurers to cover equivalent nonformulary drugs for treating serious mental illness when a formulary drug is in shortage; insurers asked for language that allows use of formulary alternatives before nonformulary coverage is mandated.
The Bureau of Insurance presented LD 1,100 as a department bill to codify bulletin 478, which directed carriers to treat nonformulary drugs prescribed to assess and treat serious mental illness the same as formulary drugs when a formulary drug is unavailable due to shortage.
Bureau counsel said the bill is intended to preserve patient access to necessary behavioral‑health…
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