Section 1367.244 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1367.244
. (a) A request for an exception to a health care service
plan's step therapy process for prescription drugs may be submitted
in the same manner as a request for prior authorization for
prescription drugs pursuant to Section 1367.241, and shall be treated
in the same manner, and shall be responded to by the health care
service plan in the same manner, as a request for prior authorization
for prescription drugs.
(b) The department and the Department of Insurance shall include a
provision for step therapy exception requests in the uniform prior
authorization form developed pursuant to subdivision (c) of Section
1367.241.