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§ 15-842. Copayments or coinsurance for covered prescription drug or device

West's Annotated Code of MarylandInsuranceEffective: May 8, 2020

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
Effective: May 8, 2020
MD Code, Insurance, § 15-842
§ 15-842. Copayments or coinsurance for covered prescription drug or device
Application of section
(a)(1) This section applies to:
(i) insurers and nonprofit health service plans that provide coverage for prescription drugs and devices under health insurance policies or contracts that are issued or delivered in the State; and
(ii) health maintenance organizations that provide coverage for prescription drugs and devices under contracts that are issued or delivered in the State.
(2) An insurer, nonprofit health service plan, or health maintenance organization that provides coverage for prescription drugs and devices through a pharmacy benefits manager is subject to the requirements of this section.
Copayments or coinsurance for covered prescription drug or device
(b) An entity subject to this section may not impose a copayment or coinsurance requirement for a covered prescription drug or device that exceeds the retail price of the prescription drug or device.

Credits

Added by Acts 2007, c. 638, § 1, eff. Oct. 1, 2007. Amended by Acts 2020, c. 628, § 1, eff. May 8, 2020.
MD Code, Insurance, § 15-842, MD INSURANCE § 15-842
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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