Oregon Law
Law as of Jan 1, 2026
Chapter contents
743A.001Automatic repeal of certain statutes on individual and group health insurance 743A.010Services provided by state hospital or state approved program 743A.012Emergency services 743A.014Payments for ambulance care and transportation 743A.018Services provided by osteopathic physician 743A.020Services provided by acupuncturist 743A.024Services provided by clinical social worker 743A.028Services provided by denturist 743A.032Surgical services provided by dentist 743A.034Services provided by expanded practice dental hygienist 743A.036Services provided by licensed nurse practitioner or licensed physician associate 743A.040Services provided by optometrist 743A.044Services provided by physician associate 743A.048Services provided by psychologist 743A.050[Formerly 743.798; repealed by 2017 c.206 §16] 743A.051Services provided by pharmacist 743A.052Services provided by professional counselor or marriage and family therapist 743A.058Telemedicine services; rules 743A.060Definition for ORS 743A.062 743A.062Prescription drugs 743A.063Ninety-day supply of prescription drug refills 743A.064Prescription drugs dispensed at rural health clinics 743A.065Early refills of prescription eye drops for treatment of glaucoma 743A.066Contraceptives 743A.067Reproductive health services 743A.068Orally administered anticancer medication 743A.069Insulin 743A.070Nonprescription enteral formula for home use 743A.078Newborn nurse home visiting services 743A.080Pregnancy and childbirth expenses 743A.081Doulas, lactation counselors and lactation educators 743A.082Diabetes management for pregnant women 743A.084Unmarried women and their children 743A.088Use by mother of diethylstilbestrol 743A.090Natural and adopted children 743A.100Mammograms 743A.101Supplemental or diagnostic breast examinations 743A.104Pelvic examinations and Pap smear examinations 743A.105HPV vaccine 743A.108Physical examination of breast 743A.110Mastectomy-related services; expedited external review required 743A.111Consumer education about post-mastectomy services 743A.112Autologous breast reconstruction procedures 743A.114Perimenopause, menopause and postmenopause 743A.120[Formerly 743.794; repealed by 2017 c.206 §16] 743A.124Colorectal cancer screenings and laboratory tests 743A.130Proton beam therapy 743A.140Bilateral cochlear implants 743A.141Hearing aids and assistive listening devices 743A.144[2007 c.374 §2; 2016 c.11 §4; repealed by 2017 c.206 §16] 743A.145Orthotic and prosthetic devices; rules 743A.148Maxillofacial prosthetic services 743A.150Treatment of craniofacial anomaly 743A.160Alcoholism treatment 743A.164[Formerly 743.480; 2017 c.21 §73; repealed by 2017 c.206 §16] 743A.168Behavioral health treatment; qualified providers; rules 743A.169Behavioral and physical health services provided on same day or in same facility; behavioral health services provided by behavioral health home specialist or patient centered primary care home specialist 743A.170Tobacco use cessation programs 743A.171Payment for substance use disorder treatment 743A.175Traumatic brain injury 743A.180Tourette Syndrome 743A.184[Formerly 743.694; repealed by 2017 c.206 §16] 743A.185Telemedical health services for treatment of diabetes 743A.188Inborn errors of metabolism 743A.190Children with pervasive developmental disorder 743A.192Clinical trials 743A.250Emergency eye care services 743A.252Child abuse assessments 743A.260Inmates 743A.262Preventive health services; cost sharing 743A.264Disease outbreaks, epidemics and conditions of public health importance 743A.310Primary care visits; rules 743A.315Treatment for pediatric autoimmune neuropsychiatric disorders 743A.325Gender-affirming treatment; rules 743A.335Human immunodeficiency virus

Chapter 743A — Health Insurance: Reimbursement of Claims

ORS 743A.063 Ninety-day supply of prescription drug refills

(1)

A prescription drug benefit program, or a prescription drug benefit offered under a health benefit plan as defined in ORS 743B.005, must provide for reimbursement for up to a 90-day supply of a prescription drug dispensed by a pharmacy, as defined in ORS 689.005, if:

(a)

The prescription drug is covered by the program or plan;

(b)

An initial 30-day supply of the prescription drug has been previously dispensed to the program or plan member; and

(c)

The quantity of the prescription drug dispensed does not exceed the total remaining quantity of the prescription drug that the prescribing practitioner authorized to be dispensed through refills.

(2)

The coverage required by subsection (1) of this section may be limited by the terms and conditions of a pharmacy network contract, or a prescription drug benefit program or health benefit plan, that are related to the reimbursement rate of the prescription drug.

(3)

The coverage required by subsection (1) of this section may be limited by formulary restrictions that are related to the prescription drug.

(4)

This section does not apply to the reimbursement of prescription drugs classified as a controlled substance in Schedule II.

(5)

This section is exempt from ORS 743A.001.

Note: 743A.063 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Official sources · 2Tap to view provenance and version history

Online copy of the published ORS edition

Provenance

Version history

Earlier statutory text is available in an ingested published ORS edition.