HB 263 w/ HA 1 — Session Law

… O. 1 AN ACT TO AMEND TITLE 18 AND TITLE 29 OF THE DELAWARE CODE RELATING TO COST SHARING IN PRESCRIPTION INSULIN DRUGS. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE: Section 1. Amend Chapter 33, Title 18 of the D …

… wn by strike through and insertions as shown by underline as follows: § 3344B. Cost sharing in prescription insulin drugs. (a) For purposes of this section, “prescription insulin drug” means a drug containing insulin that is dispensed un …

… ed, issued for delivery, renewed, extended, or modified in this State that provides coverage for prescription insulin drugs must do all of the following: (1) Cap the total amount that a covered individual is required to pay for c overed p …

… following: (1) Cap the total amount that a covered individual is required to pay for c overed prescription insulin drugs at no more than $100 per month for each enrolled individual , regardless of the amount or type s of insulin needed to …

… d once a deductible is met. (2) Include at least 1 formulation of each of the following types of prescription insulin drugs on the lowest tier of the drug formulary developed and maintained by the carrier: a. Rapid-acting. b. Short-acti …

… ” means either of the following: a. If the prescription insulin drug is a generic drug, the lowest tier for generic drugs. b. If the prescription insulin drug is a brand-name drug, the lowest tier for brand-name drugs. (c) Except as pro …

… est tier for generic drugs. b. If the prescription insulin drug is a brand-name drug, the lowest tier for brand-name drugs. (c) Except as provided under paragraph (b)(1) of this section, nothing in this section prevents the operation of a …

… wn by strike through and insertions as shown by underline as follows: § 3560A. Cost sharing in prescription insulin drugs. (a) For purposes of this section, “prescription insulin drug” means a drug containing insulin that is dispensed un …