SDCL § 58-17H-53: Step therapy protocols.
Where this section sits in the code
- TITLE 58. INSURANCE
- 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