70.975             Continued Coverage for Prescription Medications From Health Plan Drug Formularies

70.975             Continued Coverage for Prescription Medications From Health Plan Drug Formularies:

MSSNY will seek appropriate legislation that would allow a patient suffering from a chronic condition to continue to be reimbursed for medically necessary prescription drugs subsequently removed at the discretion of a health plan from its drug formularies provided that the patient’s physician believes that there is no appropriate alternate drug on the formulary.  (HOD 1998-74; Reaffirmed HOD 2001-53; Reaffirmed HOD 2011; Reaffirm HOD 2021)