Year: 2008
Resolution Number: 83
Action Taken: Approved as Amended
Status:
Author(s): Mohammed A. Arsiwala, MD
Sponsor: James H. Sondheimer, MD
On behalf of: Wayne County Delegation
Committee: B (Legislation)
Resolved Section(s):
RESOLVED: That MSMS propose policies and legislation to establish standards for all commercial payers’ drug formulary publication, ideally in an internet environment, including information for web or fax prior authorization and exception requests; and be it further RESOLVED: That MSMS seek policies and legislation stipulating that an insurance company formulary may suggest preferred therapeutically equivalent agents, no prescription denial or substitution could be made absent the physician’s notification and approval.
RESOLVED: That MSMS propose policies and legislation to establish standards for all commercial payers’ drug formulary publication, ideally in an internet environment, including information for web or fax prior authorization and exception requests; and be it further RESOLVED: That MSMS seek policies and legislation stipulating that an insurance company formulary may suggest preferred therapeutically equivalent agents, no prescription denial or substitution could be made absent the physician’s notification and approval.
Fiscal Note: NULL
Resolution: View PDF for Insurance Company Formulary Transparency and Drug Substitutions