Sec. 7. An insurance policy or a health maintenance organization that provides coverage for drugs may not exclude coverage of a covered drug for a particular indication on the grounds that the drug has not been approved by the federal Food and Drug Administration for the particular indication if any of the following conditions are met:
(1) The drug is recognized for treatment of the indication in at least one (1) standard reference compendium.
(2) The drug is recommended for that particular type of cancer and found to be safe and effective in formal clinical studies, the results of which have been published in a peer reviewed professional medical journal published in the United States or Great Britain.
As added by P.L.277-1993(ss), SEC.120. Amended by P.L.26-1994, SEC.20.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 20. Reimbursement for Off Label Drug Treatment
27-8-20-0.1. Application of Chapter
27-8-20-1. "Commissioner" Defined
27-8-20-3. "Insurance Policy" Defined
27-8-20-4. "Off Label Use" Defined
27-8-20-5. "Health Maintenance Organization" Defined
27-8-20-6. "Standard Reference Compendium" Defined
27-8-20-7. Exclusion of Coverage for Drugs Not Approved by the Fda; Limitations