24-A M.R.S. §4314-A: Coverage for early refills of prescription eye drops

1. Required coverage. A carrier offering a health plan in this State shall provide coverage for one early refill of a prescription for eye drops if the following criteria are met:

A. The enrollee requests the refill no earlier than the date on which 70% of the days of use authorized by the prescribing health care provider have elapsed;

B. The prescribing health care provider indicated on the original prescription that a specific number of refills are authorized;

C. The refill requested by the enrollee does not exceed the number of refills indicated on the original prescription;

D. The prescription has not been refilled more than once during the period authorized by the prescribing health care provider prior to the request for an early refill; and

E. The prescription eye drops are a covered benefit under the enrollee's health plan.

2. Cost sharing. A carrier may impose a deductible, copayment or coinsurance requirement for an early refill under this section as permitted under the health plan.