Massachusetts H1305 aims to improve patient adherence to medications and reduce healthcare costs by allowing medication synchronization.
Massachusetts H1305 mandates that health insurance policies providing prescription drug coverage must permit and apply a pro-rated daily cost-sharing rate for prescriptions dispensed by a network pharmacy for a partial supply. This applies if the prescriber or pharmacist determines the fill or refill to be in the patient's best interest and the patient requests or agrees to a partial supply for medication synchronization. The bill also prohibits insurance policies from denying coverage for medication synchronization and from using payment structures that incorporate pro-rated dispensing fees.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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