33-32-222. Prohibition on prior authorization requirements for prescriptions written at discharge from inpatient care, MCA

Montana Code Annotated 2025

TITLE 33. INSURANCE AND INSURANCE COMPANIES

CHAPTER 32. HEALTH UTILIZATION REVIEW

Part 2. Utilization Review -- Conduct

Prohibition On Prior Authorization Requirements For Prescriptions Written At Discharge From Inpatient Care

33-32-222. Prohibition on prior authorization requirements for prescriptions written at discharge from inpatient care. (1) A prescription written for an inpatient and patient under observation at the time of discharge requiring a prior authorization may not be subject to prior authorization requirements and must be immediately approved for not less than 3 days, provided that:

(a) the cost of the medication does not exceed $5,000 a day; and

(b) the physician shall note on the prescription or notify the pharmacy that the prescription is being provided at discharge.

(2) Approval beyond 3 days is subject to prior authorization review under 33-32-212.

History: En. Sec. 2, Ch. 577, L. 2025.