{"data":{"id":"us-or/ors-743b.601","jurisdiction":"us-or","citation":"ORS 743B.601","heading":"Synchronization of prescription drug refills.","body":"(1) As used in this section:\n      (a) “Health plan” means:\n      (A) A “health benefit plan” as defined in ORS 743B.005; and\n      (B) A self-insured health plan offered by the Oregon Health and Science University.\n      (b) “Synchronization policy” means a procedure for aligning the refill dates of a patient’s prescription drugs so that drugs that are refilled at the same frequency may be refilled concurrently.\n      (2) A health plan that includes prescription drug coverage shall implement a synchronization policy for the dispensing of prescription drugs to the plan’s enrollees.\n      (3) A health plan shall reimburse the cost of prescription drugs dispensed in accordance with the plan’s synchronization policy.\n      (4) If a drug is dispensed in less than a 30-day supply for the purpose of synchronizing a patient’s prescription drug refills, a health plan shall:\n      (a) Prorate the copayment; or\n      (b) Adjust the copayment using a method approved by the Department of Consumer and Business Services.\n      (5) A health plan shall fully reimburse the dispensing fee for partially filled or refilled prescription drugs.\n      (6) This section does not apply to prescription drugs that:\n      (a) Are in unit-of-use packaging for which synchronization is not possible;\n      (b) Are controlled substances; or\n      (c) Have been identified by the United States Drug Enforcement Administration as having a high risk of diversion.\n      (7) The coverage required by this section may be limited by formulary restrictions applied to a prescription drug by a health plan.\n      (8)(a) This section does not apply to a prepaid group practice health plan with at least 200,000 enrollees in this state.\n      (b) As used in this subsection, “prepaid group practice health plan” means a health care service contractor that provides physician services to its enrollees through an integrated health care delivery system using, primarily, a single group of physicians contracted on a prepaid, capitated basis.","path":["18 - Financial Institutions, Insurance","56. Insurance","Chapter 743B — Health Benefit Plans: Individual and Group"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors743B.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:17Z","sha256":"08a9e69cd8764972b589ef9bff66d6c886ee141969c6c3afaec87fc4b61b317c","source_id":"us-or","stale":false,"prev":"us-or/ors-743b.555","next":"us-or/ors-743b.602"},"notice":"GroundRules: Original legal text. Not legal advice."}