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Oklahoma! Where the Wind of Prescription Drug Regs Comes Sweepin' Down the Plans
HUB InternationalLink to more items from this source
[Guidance Overview]
Dec. 15, 2021

"[E]ffective November 1, 2021 ... plans must count amounts paid on behalf of an enrollee, such as by a manufacturer assistance program, as being paid by the enrollee for purposes of their deductible, coinsurance and out of pocket maximum ... [T]his law poses significant challenges for High Deductible Health Plans (HDHPs).... Oklahoma HB 1019, also effective November 1, 2021, sets cost sharing limits for insulin prescriptions under health plans.... [T]he plan itself is responsible for the difference between the consumer cost and price paid by the plan."

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