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South Dakota · Through 2026-08-31 · Newer source version available

SDCL § 58-17H-53: Step therapy protocols.

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Where this section sits in the code
  1. TITLE 58. INSURANCE
  2. CHAPTER 58-17H. UTILIZATION REVIEW AND BENEFIT DETERMINATIONS

A health carrier, health benefit plan, or utilization review organization shall consider available recognized evidence-based and peer-reviewed clinical practice guidelines when establishing a step therapy protocol. Upon written request of a covered person, a health carrier, health benefit plan, or utilization review organization shall provide any clinical review criteria applicable to a specific prescription drug covered by the health carrier, health benefit plan, or utilization review organization.

Collected 2026-09-03T15:18:57Z. Source file · JSON

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