Cost-sharing for prescription drugs (R 2022-05)

This proposed rule makes amendments for SSB 5610 chapter 228, Laws of 2022 which permits third party cost-sharing for prescription drugs within specific parameters. The rule will also establish consistency in applying payments. Amendments to rules are made for consistency in definitions with a third-party payment, clarity in pharmacy exceptions and the appeals process, and the application of cost-sharing paid by a third party for the purposes of high-deductible plans. This rulemaking will be addressed in accordance with federal guidance.