Are there any laws governing the prescription of drugs in managed care and other cost containment programs?

Yes, there are laws governing the prescription of drugs in managed care and other cost containment programs in North Carolina. The North Carolina General Statutes provide for the regulation of drug use in health maintenance organizations (HMOs), preferred provider organizations (PPOs), and other cost containment programs. Under this law, health care providers must provide prior authorization for certain prescription drugs before they can be prescribed and dispensed. This means that physicians, nurses, dentists, and other health care providers must submit a request to the health plan for authorization to dispense a drug before it is prescribed. This authorization will be reviewed by the health plan and may be denied if the health care provider is not able to provide sufficient medical information to justify the prescription. The health plan may also limit the amount of a drug that a patient can receive or require that the drug be dispensed in a less expensive form. The law also requires health care providers to make sure that a patient is using the most cost-effective form of drugs available in the market. Finally, the law requires health plans to provide information to their members about the cost of drugs and how different types of drugs are covered.

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Are there any laws governing the prescription of drugs in managed care and other cost containment programs?

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