Section Ins 2705.09 - Waivers to Support Use of National ePA Standards(a) Upon written request of a health insurer, pharmacy benefits manager, or utilization review entity, the department shall grant in writing a waiver of the requirements of one or more provisions of Ins 2705.06 upon a showing by the health insurer, pharmacy benefits manager, or utilization review entity, that: (1) The health insurer, pharmacy benefits manager, or utilization review entity has adopted or plans to adopt the use of a nationally recognized standard for ePA of prescription drugs, including but not limited to standards provided by the National Council for Prescription Drug Programs or an equivalent organization;(2) One or more provisions in these rules prevent the effective use of the nationally recognized standard;(3) The modifications permitted under Ins 2705.06(b) do not effectively address the conflict between the rule and the national standard; and(4) The waiver request outlines with specificity the requested modification to the uniform requirements of this part that will eliminate the conflict.(b) A health insurer, pharmacy benefits manager, or utilization review entity that has been granted a waiver pursuant to (a) above shall comply with all provisions of Ins 2705 except as expressly described in the department's written document granting the waiver.N.H. Admin. Code § Ins 2705.09
Derived From Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12125, Effective 3/8/2017, Expires 3/8/2027.