{"data":{"id":"us-nm/13-7-17","jurisdiction":"us-nm","citation":"13-7-17","heading":"Pharmacy benefits; prescription synchronization.","body":"A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that offers a prescription drug benefit shall allow an enrollee to fill or refill a prescription for less than a thirty-day supply of the prescription drug, and apply a prorated daily copayment or coinsurance for the fill or refill, if:\n(1) the prescribing practitioner or the pharmacist determines the fill or refill to be in the best interest of the patient;\n(2) the patient requests or agrees to receive less than a thirty-day supply of the prescription drug; and\n(3) the reduced fill or refill is made for the purpose of synchronizing the patient's prescription drug fills.\nB. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that offers a prescription drug benefit shall not:\n(1) deny coverage for the filling of a chronic medication when the fill is made in accordance with a plan to synchronize multiple prescriptions for the enrollee pursuant to Subsection A of this section established among the group health plan, the prescribing practitioner and a pharmacist. The group health plan shall allow a pharmacy to override any denial indicating that a prescription is being refilled too soon for the purposes of medication synchronization; and\n(2) prorate a dispensing fee to a pharmacy that fills a prescription with less than a thirty-day supply of prescription drug pursuant to Subsection A of this section. The group health plan shall pay in full a dispensing fee for a partially filled or refilled prescription for each prescription dispensed, regardless of any prorated copayment or coinsurance that the enrollee may pay for prescription synchronization services.","path":["Chapter 13 - Public Purchases and Property","ARTICLE 7 Health Care Purchasing"],"source_url":"https://nmonesource.com/nmos/nmsa-unanno/en/item/18513/index.do","current_through":"2026-07-01","vintage":"","retrieved_at":"2026-09-03T15:02:19Z","sha256":"71932ab2bbe2d869b06032ca96beac46666f91fb674fc975de2563cf1ff368ee","source_id":"us-nm","stale":false,"prev":"us-nm/13-7-16","next":"us-nm/13-7-17.1"},"notice":"GroundRules: Original legal text. Not legal advice."}