State Law

Revised Code of Washington-Title 48-Chapter 48.43. Insurance Reform

08/26/2023 Washington Section 48.43.410

Prescription drug utilization management — Clinical review criteria — Requirement to be evidence-based and updated regularly

U.R. Criteria

For health plans delivered, issued for delivery, or renewed on or after January 1, 2021, clinical review criteria used to establish a prescription drug utilization management protocol must be evidence-based and updated on a regular basis through review of new evidence, research, and newly developed treatments.