{"data":{"id":"us-me/24-a-m.r.s.-4320-j","jurisdiction":"us-me","citation":"24-A M.R.S. §4320-J","heading":"Coverage for abuse-deterrent opioid analgesic drug products","body":"1.  Definitions.  As used in this section, unless the context otherwise indicates, the following terms have the following meanings.\nA.  \"Abuse-deterrent opioid analgesic drug product\" means a brand or generic opioid analgesic drug product approved by the federal Food and Drug Administration with abuse-deterrent labeling claims that indicate the drug product is expected to result in a meaningful reduction in abuse.\nB.  \"Cost sharing\" means any coverage limit, copayment, coinsurance, deductible or other out-of-pocket expense associated with a health plan.\nC.  \"Opioid analgesic drug product\" means a drug product in the opioid analgesic drug class prescribed to treat moderate to severe pain or other conditions, whether in immediate release or extended release, long-acting form and whether or not combined with other drug substances to form a single drug product or dosage form.\n2.  Required coverage.  A carrier offering a health plan in this State shall provide coverage for abuse-deterrent opioid analgesic drug products listed on any formulary, preferred drug list or other list of drugs used by the carrier on a basis not less favorable than that for opioid analgesic drug products that are not abuse-deterrent and are covered by the health plan.  An increase in enrollee cost sharing to achieve compliance with this section may not be implemented.","path":["TITLE 24-A: MAINE INSURANCE CODE","CHAPTER 56-A: HEALTH PLAN IMPROVEMENT ACT","SUBCHAPTER 1: HEALTH PLAN REQUIREMENTS"],"source_url":"https://legislature.maine.gov/statutes/24-A/title24-Asec4320-J.html","current_through":"October 1, 2025","vintage":"","retrieved_at":"2026-09-04T15:12:33Z","sha256":"6e8a9d851e96a427b6d0fa533dae8e0a5653b713f3a8f10397bdd80f3c7cf5d8","source_id":"us-me","stale":false,"prev":"us-me/24-a-m.r.s.-4320-i","next":"us-me/24-a-m.r.s.-4320-k"},"notice":"GroundRules: Original legal text. Not legal advice."}