Or. Admin. Code § 836-053-0025

Current through Register Vol. 63, No. 11, November 1, 2024

Section 836-053-0025 - Insulin

(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.

Or. Admin. Code § 836-053-0025

ID 4-2022, adopt filed 06/16/2022, effective 7/1/2022; ID 42-2023, amend filed 07/24/2023, effective 8/1/2023

Statutory/Other Authority: ORS 731.244

Statutes/Other Implemented: ORS 743A.069