On March 15th, the Governor singed Public Act 38 formerly known as Senate Bill No. 150, the legislation permitting medication synchronization in the State of Michigan. The legislation will require health plans that provide prescription drug coverage to provide a program for synchronizing multiple maintenance medications for patients. This legislation will not only provide convenience for the patient, but will also be one additional strategy towards ensuring adherence to medications.
In order for patients to qualify for the medication synchronization program the following must occur:
- The patient’s pharmacist and physician must agree that medication synchronization is in the best interest for the management of the patient’s chronic long-term conditions.
- The patient must be covered by insurance.
- The medications must have refills, be used to treat chronic conditions and cannot be controlled substances.
- The medications must meet prior authorization requirements at the time of beginning the program.
- The medications must also be in a formulation that may be split to achieve synchronization.
- Insurers or health management organizations will also be required to offer prorated daily cost-sharing rates for medications for the purpose of synchronization.
- Pay or reimburse a dispensing fee only if it were based on each maintenance prescription drug dispensed, and not prorated.
If you have any questions, please contact MPA Manager of Advocacy, Governmental and Regulatory Affairs Amanda Lick at Amanda@MichiganPharmacists.org or MPA Director of Professional Practice Eric Roath at Eric@MichiganPharmacists.org.
*Featured in picture from left to right: Sen. Margaret O’Brien, Stephanie Bogema Amanda Lick, Gov. Rick Snyder, Eric Roath and Larry Wagenknecht.