{"data":{"id":"us-ky/krs-304.17a-166","jurisdiction":"us-ky","citation":"KRS 304.17A-166","heading":"Prescription eye drops coverage to include refills and additional bottle","body":"if conditions met.\n(1) As used in this section, \"practitioner\" has the same meaning as in KRS 217.015.\n(2) Any health benefit plan issued or renewed on or after January 1, 2015, that provides\ncoverage for prescription eye drops shall not deny coverage for a refill of a\nprescription if:\n(a) The refill is requested by the insured:\n1. For a thirty (30) day supply, between twenty -five (25) days and thirty\n(30) days from the later of:\na. The original date the prescription was distributed to the insured; or\nb. The date the most recent refill was distributed to the insured; and\n2. For a ninety (90) day supply, between eighty (80) days and ninety (90)\ndays from the later of:\na. The original date the prescription was distributed to the insured; or\nb. The date the most recent refill was distributed to the insured; and\n(b) The prescribing practitioner indicates on the original prescription that\nadditional quantities are needed, and the r efill requested by the insured does\nnot exceed the number of additional quantities needed.\n(3) (a) Any health benefit plan issued or renewed on or after January 1, 2015, that\nprovides coverage for prescription eye drops shall provide coverage for one\n(1) additional bottle of prescription eye drops, pursuant to KRS 304.17A -165,\nwhen:\n1. The additional bottle is requested by the insured or the prescribing\npractitioner at the time the original prescription is distributed to the\ninsured; and\n2. The prescribing practitioner indicates on the original prescription that\nthe additional bottle is needed by the insured for use in a day care center\nor school.\n(b) Coverage for an additional bottle shall be limited to one (1) bottle every three\n(3) months.\n(4) The coverages required by this section shall not be subject to a greater deductible or\ncopayment than other similar health care services provided by the health benefit\nplan.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=43573","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:46Z","sha256":"d9f461f0fabb995fea8a939fe19107565367adec1f4d50beb467a26863cd7eff","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17a-165","next":"us-ky/krs-304.17a-167"},"notice":"GroundRules: Original legal text. Not legal advice."}