P.R. Laws tit. 26, § 9044
This chapter shall apply to all health insurance organizations or issuers, or their designees, who provide or administer benefits for outpatient prescription drugs in accordance with the provisions of the health plan, through the use of a formulary or through the application of any other pharmaceutical benefit management procedure.
Nothing in this chapter shall be construed to apply to prescription drugs that are categorically or contractually excluded from a covered person or enrollee's health plan. A provision in the benefit contract that purports to exclude all nonformulary prescription drugs shall not be considered a categorical exclusion for purposes of this chapter.
History —Aug. 29, 2011, No. 194, § 4.040, eff. 180 days after Aug. 29, 2011.