IL: Health Insurance Benefit Coverage Law
When a physician includes a “may not substitute” order on a prescription, health insurance policies and health care service plans that cover immunosuppressant drugs may not require or cause pharmacists to interchange another immunosuppressant drug or formulation without notification and documented consent of the prescribing physician and patient.
For purposes of the law, “immunosuppressant drugs” include drugs used clinically to prevent the rejection of transplanted organs and tissues, but do not include those used for treatment of autoimmune diseases. Medications issued for inpatient care in a licensed hospital are also excluded.
(P.A. 766 (H. 152), L. 2009, effective June 1, 2010, at IL ¶14-4000)
Filed under: Illinois
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