SB964 allows providers to adjust prescription drug doses without prior authorization under certain conditions.
SB964 adds provisions to the California Insurance Code and Health and Safety Code, enabling a treating provider to request dose adjustments for prescription drugs without prior authorization. This applies if the drug was previously approved for the patient's serious chronic condition or cancer treatment, is not an opioid or scheduled controlled substance, and has not been adjusted more than twice without prior authorization. The insurer must respond to the request within 72 hours.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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