An Act To Review Prescription Drug Prior Authorization under MaineCare
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 22 MRSA §3174-M, sub-§6 is enacted to read:
6. Prior authorization. The procedure for implementing a formulary under this section must include a process for the prescribing provider to obtain prior authorization for the dispensation of a prescribed drug to a MaineCare member. The procedure must include an annual review by the department, to be completed by October 1st each year beginning in 2007, of the drugs subject to prior authorization, the clinical and scientific basis for the determination to apply prior authorization to the drug and analysis of the economic implications to the MaineCare program.
summary
This bill adds language regarding prior authorization to the MaineCare drug formulary statute and, beginning October 1, 2007, requires an annual review of the drugs subject to prior authorization, the clinical and scientific basis for prior authorization and analysis of the economic implications to the MaineCare program.