Prescription eye drops — Early refills — Requirements

Ark. Code Ann. § 23-79-2203 — under Insurance Policies Generally.

Ark. Code Ann. § 23-79-2203

(1) A healthcare insurer that provides coverage for prescription eye drops under a health benefit plan shall provide coverage for early refills of prescription eye drops to a covered person on and after January 1, 2022, if:(1) For a thirty-day supply:(A) The amount of time has passed after which a covered person should have used seventy percent (70%) of the dosage of the prescription eye drops according to a healthcare professional's instructions on the prescription; or(B) Twenty-two (22) days have passed from:(i) The original date the prescription eye drops were distributed to a covered person; or(ii) The date the most recent refill of the prescription eye drops was distributed to a covered person;(2) The healthcare professional indicates on the original prescription that additional quantities of the prescription eye drops are needed;(3) A refill request of a covered person for prescription eye drops does not exceed the number of additional quantities needed as described in subdivision (2) of this section; and(4) The prescription eye drops prescribed by a healthcare professional are a covered benefit under the health benefit plan of the covered person.

(1) For a thirty-day supply:(A) The amount of time has passed after which a covered person should have used seventy percent (70%) of the dosage of the prescription eye drops according to a healthcare professional's instructions on the prescription; or(B) Twenty-two (22) days have passed from:(i) The original date the prescription eye drops were distributed to a covered person; or(ii) The date the most recent refill of the prescription eye drops was distributed to a covered person;

(A) The amount of time has passed after which a covered person should have used seventy percent (70%) of the dosage of the prescription eye drops according to a healthcare professional's instructions on the prescription; or

(B) Twenty-two (22) days have passed from:(i) The original date the prescription eye drops were distributed to a covered person; or(ii) The date the most recent refill of the prescription eye drops was distributed to a covered person;

(i) The original date the prescription eye drops were distributed to a covered person; or

(ii) The date the most recent refill of the prescription eye drops was distributed to a covered person;

(2) The healthcare professional indicates on the original prescription that additional quantities of the prescription eye drops are needed;

(3) A refill request of a covered person for prescription eye drops does not exceed the number of additional quantities needed as described in subdivision (2) of this section; and

(4) The prescription eye drops prescribed by a healthcare professional are a covered benefit under the health benefit plan of the covered person.