Prohibition On Prior Authorization Requirements For Prescriptions Written At Discharge From Inpatient Care

Mont. Code Ann. § 33-32-222, under Utilization Review -- Conduct.

Mont. Code Ann. § 33-32-222

(1) A prescription written for an inpatient and patient under observation at the time of discharge requiring a prior authorization may not be subject to prior authorization requirements and must be immediately approved for not less than 3 days, provided that: (a) the cost of the medication does not exceed $5,000 a day; and (b) the physician shall note on the prescription or notify the pharmacy that the prescription is being provided at discharge. (2) Approval beyond 3 days is subject to prior authorization review under 33-32-212.