{"data":{"id":"us-nm/59a-23-13","jurisdiction":"us-nm","citation":"59A-23-13","heading":"Pharmacy benefits; prescription synchronization.","body":"A. A group or blanket health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state and that provides a prescription drug or device benefit shall allow an insured 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 insured;\n(2) the insured 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 insured's prescription drug fills.\nB. A group or blanket health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state and that provides a prescription drug or device 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 insured pursuant to Subsection A of this section established among the insurer, the prescribing practitioner and a pharmacist. The insurer 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 insurer shall pay in full a dispensing fee for a partially filled or refilled prescription for each prescription dispensed, regardless of any pro-rated copayment or coinsurance that the insured may pay for prescription synchronization services.","path":["Chapter 59A - Insurance Code","ARTICLE 23 Group and Blanket Health Insurance Contracts"],"source_url":"https://nmonesource.com/nmos/nmsa-unanno/en/item/18562/index.do","current_through":"2026-07-01","vintage":"","retrieved_at":"2026-09-03T15:02:20Z","sha256":"9770dc0d914bedc082b8a6fe7a5dc3c08dc62a3acf013098d01bade971025aa5","source_id":"us-nm","stale":false,"prev":"us-nm/59a-23-12.3","next":"us-nm/59a-23-14"},"notice":"GroundRules: Original legal text. Not legal advice."}