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HHS Essential Health Benefits Drug Coverage Provisions Unchanged In Final Rule

 
• By Cathy Kelly

Although the rule does not adopt the many drug access protections requested by drug industry stakeholders, it does promise forthcoming guidance regarding HHS expectations for the formulary exceptions process that should be followed by exchange plans.

Drug coverage provisions in the HHS final rule on essential health benefits are basically unchanged from the earlier proposed version.

Released Feb. 20, the final rule is effective April 26 and governs required benefits in private individual and small group plans that will offered through state exchanges beginning...

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