{"data":{"id":"us-mi/mich.-comp.-laws-500.2213d","jurisdiction":"us-mi","citation":"Mich. Comp. Laws § 500.2213d","heading":"Uniform prescription drug information card or other technology.","body":"Sec. 2213d.\n\nA health benefit plan that provides coverage or administers a plan that provides coverage for prescription drugs or devices and that issues, uses, or requires a card or other technology for prescription claims submission and adjudication shall issue for the plan's insureds, enrollees, members, or participants a uniform prescription drug information card or other technology as provided for in this section.\n\nBy July 1, 2003, the commissioner shall develop a uniform prescription drug information card and uniform prescription drug information technology based on the standards and format approved by the national council for prescription drug programs pharmacy ID card implementation guide. The card and technology shall include all of the national council for prescription drug programs standard information required by the health plan for submission and adjudication of claims for prescription drug or device benefits, or at a minimum contain all of the following labeled information:\n\nThe card issuer name or logo on the front of the card.\n\nThe cardholder's name and identification number, which shall be displayed on the front of the card.\n\nComplete information for electronic transaction claims routing including all of the following:\n\nThe international identification number labeled as RxBIN.\n\nThe processor control number labeled as RxPCN, if required for proper routing of electronic claim transactions for prescription benefits.\n\nThe group number labeled as RxGrp, if required for proper routing of electronic claim transactions for prescription benefits.\n\nThe name and address of the benefits administrator or other entity responsible for prescription claims submission, adjudication, or pharmacy provider correspondence for prescription benefits claims.\n\nA help desk telephone number that pharmacy providers may call for pharmacy benefit claims assistance.\n\nAll information required by subsection (2) that is necessary for submission and adjudication of claims for prescription drug or device benefits, exclusive of information that can be derived from the prescription, shall be included in a clear, readable, and understandable manner on the uniform prescription drug information card or other technology issued by the health plan. The content and format of all information required by subsection (2) shall be in the current content and format required by the health plan for electronic claims routing, submission, and adjudication.\n\nThe uniform prescription drug information card or uniform prescription drug information technology developed under this section shall be issued by a health plan upon enrollment and reissued upon any change in coverage that impacts data contained on the card or technology. However, a health plan is not required to issue a new uniform prescription drug information card or other technology more often than once in a calendar year and if a health plan issues stickers or another similar mechanism to the insureds, enrollees, members, or participants to update the cards, then the health plan is not required to issue new uniform prescription drug information cards or other technology more often than once in 3 years from the issuance of the first stickers or other similar mechanisms. This subsection does not prevent a health plan from reissuing updated new uniform prescription drug information cards or other technology on a more frequent basis.\n\nThe uniform prescription drug information card or other technology may be used for any and all health insurance coverage. Nothing in this section requires any person issuing, using, or requiring the uniform prescription drug information card or other technology to issue, use, or require a separate card for prescription coverage, provided that the card or other technology can accommodate the information necessary to process the claim as required by subsection (2).\nmay be used for any and all health insurance coverage. Nothing in this section requires any person issuing, using, or requiring the uniform prescription drug information card or other technology to issue, use, or require a separate card for prescription coverage, provided that the card or other technology can accommodate the information necessary to process the claim as required by subsection (2).\n\nAs used in this section, \"health plan\" means all of the following but does not include a department of community health pharmacy program:\n\nAn insurer providing benefits under an expense-incurred hospital, medical, or surgical policy or certificate, but does not include any of the following:\n\nAny policy or certificate that provides coverage only for any of the following:\n\nVision.\n\nDental.\n\nSpecific diseases.\n\nAccidents.\n\nCredit.\n\nHospital indemnity policy or certificate.\n\nDisability income policy or certificate.\n\nCoverage issued as a supplement to liability insurance.\n\nMedical payments under automobile, homeowners, or worker's compensation insurance.\n\nA MEWA regulated under chapter 70 that provides hospital, medical, or surgical benefits.\n\nA health maintenance organization licensed or issued a certificate of authority in this state.\n\nA third party administrator licensed under the third party administrator act, 1984 PA 218, MCL 550.901 to 550.962.","path":["MI Code","Chapter 500","Act Act-218-of-1956"],"source_url":"https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-500-2213d","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:31Z","sha256":"8073d23338af98283a4d2adab2b8df41b676e94d1da44bddb0c020c68ed5b97a","source_id":"us-mi","stale":false,"prev":"us-mi/mich.-comp.-laws-500.2213c","next":"us-mi/mich.-comp.-laws-500.2213e"},"notice":"GroundRules: Original legal text. Not legal advice."}