Minnesota SF1806 prohibits health plans from changing formularies during the plan year for enrollees already prescribed a drug.
Minnesota SF1806 aims to protect enrollees by prohibiting health plans from removing a drug from their formulary or increasing the enrollee's cost for the duration of the plan year if the drug was previously prescribed. Exceptions include cases where a drug has been deemed unsafe by the FDA, withdrawn by the manufacturer, or when research indicates imminent patient harm. Health plans may still make changes if they add a therapeutically equivalent generic or biologic drug at a lower cost and provide a 60-day notice to prescribers, pharmacists, and enrollees.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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