§1060.7. Prescription medication for chronic pain
A. Notwithstanding any provision of law to the contrary, when a licensed physician
prescribes a nonopioid medication for the treatment of chronic pain, it shall be unlawful for
a health insurance issuer to deny coverage of the nonopioid prescription drug in favor of an
opioid prescription drug.
B. When an opioid prescription is deemed medically necessary and prescribed by a
licensed physician, it shall be unlawful for an insurer to deny a prescribed medication and
attempt to substitute an alternative medication that requires any of the following:
(1) An increased number of pills per prescription.
(2) A higher Drug Enforcement Administration schedule medication than the one
prescribed.
(3) The substitution of an extended release medication that does not have defined
abuse deterrent properties for a prescription of a medication that does have defined abuse
deterrent properties.
Acts 2018, No. 372, §1; Acts 2018, No. 372, §1.