Rule 120-2-82-.05. Pharmacologic Agent Coverage Defined

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following pharmacologic agents when prescribed by a physician licensed to practice medicine pursuant to Title 43:

1. (1) Insulin of each class approved by the federal Food and Drug Administration (FDA) including formulations available either in a vial or cartridge;
2. (2) Prescription insulin of each class approved by the federal Food and Drug Administration (FDA) including formulations available either in a vial or cartridge formulation;
3. (3) Prescription oral medications of each class approved by the federal Food and Drug Adminstration (FDA) for the management of diabetes;
4. (4) Oral products approved by the federal Food and Drug Administration (FDA) for the management of diabetes;
5. (5) Glucagon kits;
6. (6) Pharmacologic agents approved by the federal Food and Drug Administration (FDA) for the management of diabetes and its complications.

Authority: O.C.G.A. Secs. 33-2-9, 33-24-59.2.

History. Original Rule entitled "Coverage for Treatment of Diabetes" adopted. F. Nov. 12, 1999; eff. Dec. 2, 1999.

Repealed: New Rule entitled "Pharmacologic Agent Coverage Defined" adopted. F. Oct. 8, 2002; eff. Oct. 28, 2002.