Rule 120-2-82-.05 - Pharmacologic Agent Coverage DefinedHealth insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following pharmacologic agents when prescribed by a physician licensed to practice medicine pursuant to Title 43:
(1) Insulin of each class approved by the federal Food and Drug Administration (FDA) including formulations available either in a vial or cartridge;(2) Prescription insulin of each class approved by the federal Food and Drug Administration (FDA) including formulations available either in a vial or cartridge formulation;(3) Prescription oral medications of each class approved by the federal Food and Drug Adminstration (FDA) for the management of diabetes;(4) Oral products approved by the federal Food and Drug Administration (FDA) for the management of diabetes;(6) Pharmacologic agents approved by the federal Food and Drug Administration (FDA) for the management of diabetes and its complications.Ga. Comp. R. & Regs. R. 120-2-82-.05
O.C.G.A. Secs. 33-2-9, 33-24-59.2.
Original Rule entitled "Coverage for Treatment of Diabetes" adopted. F. Nov. 12, 1999; eff. Dec. 2, 1999.Repealed: New Rule entitled "Pharmacologic Agent Coverage Defined" adopted. F. Oct. 8, 2002; eff. Oct. 28, 2002.