Colo. Rev. Stat. § 10-16-151
Cost sharing in prescription insulin drugs - limits - definition - rules.
Effective Sep 7, 2021L. 2019: Entire section added, (HB 19-1216), ch. 248, p. 2419, § 2, effective August 2. L. 2021: (2) amended, (HB 21-1307), ch. 437, p. 2894, § 2, effective September 7.
- (1) As used in this section, unless the context otherwise requires, prescription insulin drug means a prescription drug, as defined in section 12-280-103 (42), that contains insulin and is used to treat diabetes.
- (2) A carrier that provides coverage for prescription insulin drugs pursuant to the terms of a health coverage plan the carrier offers shall cap the total amount that a covered person is required to pay for all covered prescription insulin drugs at an amount not to exceed one hundred dollars for the covered person's entire thirty-day supply of insulin, regardless of the amount or type of insulin needed to fill the covered person's prescription or the number of prescriptions.
- (3) Nothing in this section prevents a carrier from reducing a covered person's cost sharing by an amount greater than the amount specified in subsection (2) of this section.
- (4) The commissioner may use any of the commissioner's enforcement powers to obtain a carrier's compliance with this section.
- (5) The commissioner may promulgate rules as necessary to implement and administer this section and to align with federal requirements.
Source: L. 2019: Entire section added, (HB 19-1216), ch. 248, p. 2419, § 2, effective August 2. L. 2021: (2) amended, (HB 21-1307), ch. 437, p. 2894, § 2, effective September 7.
Cross references: For the legislative declaration in HB 19-1216, see section 1 of chapter 248, Session Laws of Colorado 2019. For the legislative declaration in HB 21-1307, see section 1 of chapter 437, Session Laws of Colorado 2021.