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Oregon · Through 2025 Edition

ORS 743A.069: Insulin.

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Where this section sits in the code
  1. 18 - Financial Institutions, Insurance
  2. 56. Insurance
  3. Chapter 743A — Health Insurance: Reimbursement of Claims

(1) As used in this section:

      (a) “Health benefit plan” has the meaning given that term in ORS 743B.005.

      (b) “Insulin” has the meaning given that term in ORS 689.696.

      (2) A health benefit plan offered in this state may not require an enrollee in the plan to incur cost-sharing or other out-of-pocket costs that exceed $35 for each 30-day supply of a type of insulin prescribed for the treatment of diabetes or $105 for each 90-day supply.

      (3) The coverage under this section may not be subject to a deductible imposed by a health benefit plan.

      (4) This section does not prohibit a health benefit plan from using a drug formulary or other utilization review protocol applicable to prescription drug coverage under the plan.

      (5) This section is not subject to ORS 743A.001.

Collected 2026-09-03T23:50:17Z. Source file · JSON

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