N.M. Stat. § 59A-2-9.8
This is the official text of N.M. Stat. § 59A-2-9.8, part of New Mexico’s Stat — part of the compiled statutory law of New Mexico, published by the state as "Stat." Browse the sections below, each linked to its official government source.
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§ 59A-2-9.8. Prior authorization request form; development
Official statutory text
A. On or before January 1, 2014, the division shall jointly develop with the board of pharmacy a uniform prior authorization form that, notwithstanding any other provision of law, a prescribing practitioner in the state shall use to request prior authorization for coverage of prescription drugs. The uniform prior authorization form shall:
(1) not exceed two pages;
(2) be made electronically available on the web site of the division and on the web site of each health insurer, health care plan or health maintenance organization that uses the form;
(3) be developed with input received from interested parties pursuant to at least one public meeting; and
(4) take into consideration the following:
(a) any existing prior authorization forms that the federal centers for medicare and medicaid services or the human services department has developed; and
(b) any national standards pertaining to electronic prior authorization for prescription drugs.
B. As used in this section, “ prescribing practitioner ” means a person that is licensed or certified to prescribe and administer drugs that are subject to the New Mexico Drug, Device and Cosmetic Act.
(1) not exceed two pages;
(2) be made electronically available on the web site of the division and on the web site of each health insurer, health care plan or health maintenance organization that uses the form;
(3) be developed with input received from interested parties pursuant to at least one public meeting; and
(4) take into consideration the following:
(a) any existing prior authorization forms that the federal centers for medicare and medicaid services or the human services department has developed; and
(b) any national standards pertaining to electronic prior authorization for prescription drugs.
B. As used in this section, “ prescribing practitioner ” means a person that is licensed or certified to prescribe and administer drugs that are subject to the New Mexico Drug, Device and Cosmetic Act.
Status: in_force
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