Off-Label Use of Prescription Drugs for Cancer

Tuesday, August 1, 2006
Health Care Bulletin #121

The law requires all health insurance plans doing business in Vermont that provide coverage for prescription drugs, to also provide coverage for "off-label" uses of pharmaceuticals to treat cancer where the drug is: (1) prescribed by a treating oncologist and (2) the "off-label" use is a "medically accepted indication for the treatment of cancer" The law prohibits insurers from denying coverage for such off-label uses as investigational.

BUL-H-121.pdf13.21 KB

These documents are not legal documents but are placed here for reference purposes only. For a legal copy please contact the department.