§ 514l-2

514L.2 Uniform prescription drug information cards. 1. a. A provider of third-party payment or prepayment of prescription drug expenses, including the provider’s agents or contractors and pharmacy benefits managers, that issues acard or other technology for claims processing and an administrator of the payor, excludingadministrators of self-funded employer sponsored health benefit plans qualified under thefederal Employee Retirement Income Security Act of 1974, shall issue to its insureds a cardor other technology containing uniform prescription drug information. The commissioner ofinsurance shall adopt rules for the uniform prescription drug information card or technologyapplicable to those entities subject to regulation by the commissioner of insurance. The rulesshall require at least both of the following regarding the card or technology: (1) With respect to the information required, be consistent with the guide, except that the address of the pharmacy benefits manager shall not be required. (2) With respect to the location of the information required, be substantially consistent with the guide. b.

the guide, except that the address of the pharmacy benefits manager shall not be required. (2) With respect to the location of the information required, be substantially consistent with the guide. b. Any information on the card shall be formatted and arranged in a manner that corresponds to the current content and format required by the provider for processing ofclaims. 2. A new uniform prescription drug information card or technology, as required pursuant to subsection 1, shall be issued by a provider of third-party payment or prepayment orthe provider’s agents or contractors or pharmacy benefits managers upon enrollment andreissued upon any change in the insured’s coverage that impacts data contained on thecard or technology. The commissioner of insurance shall review the national council forprescription drug programs implementation guide or successor document on an ongoingbasis to determine changes, and shall modify or adopt rules as determined appropriate. 3. The card or other technology may be used for any health insurance or health benefits coverage and nothing in this chapter shall require a provider to issue a separate card forprescription drug coverage if the card or

technology may be used for any health insurance or health benefits coverage and nothing in this chapter shall require a provider to issue a separate card forprescription drug coverage if the card or other technology can accommodate the informationnecessary to process claims. 4. This chapter shall not apply to prescription drug coverage provided through or in conjunction with any of the following: a. Accident-only or disability income insurance coverage.b. Hospital confinement indemnity coverage.c. Coverage issued as a supplement to liability insurance.d. Basic hospital and medical-surgical expense coverage.e. Liability insurance, including general liability insurance and automobile liability insurance. f. Workers’ compensation or similar insurance. g. Automobile medical payment insurance.h. Credit only insurance.i. Coverage for on-site medical clinic care.j. Dental or vision coverage.k. Benefits for long-term care, nursing home care, or community-based care.l. Short-term hospital, medical, or major medical coverage.m. Medicare supplemental as defined pursuant to 42 U.S.C. §1395ss(g)(1), coverage supplemental to the coverage provided under 10 U.S.C.

care.l. Short-term hospital, medical, or major medical coverage.m. Medicare supplemental as defined pursuant to 42 U.S.C. §1395ss(g)(1), coverage supplemental to the coverage provided under 10 U.S.C. §1071 – 1109, and similar coveragethat is supplemental to coverage under group health insurance coverage as defined by thecommissioner of insurance. n. Any other similar limited benefits as defined by the commissioner of insurance.2001 Acts, ch 77, §2; 2017 Acts, ch 148, §98 Sat Dec 23 00:46:24 2023 Iowa Code 2024, Section 514L.2 (15, 0)