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§ 15-1611. Actions prohibited by pharmacy benefits manager

West's Annotated Code of MarylandInsuranceEffective: January 1, 2022

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 16. Pharmacy Benefits Managers (Refs & Annos)
Part II. Registration and Regulation of Pharmacy Benefits Managers
Effective: January 1, 2022
MD Code, Insurance, § 15-1611
§ 15-1611. Actions prohibited by pharmacy benefits manager
Currentness
Application of section
(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier.
In general
(b) A pharmacy benefits manager may not prohibit a pharmacy or pharmacist from:
(1) providing a beneficiary with information regarding the retail price for a prescription drug or the amount of the cost share for which the beneficiary is responsible for a prescription drug;
(2) discussing with a beneficiary information regarding the retail price for a prescription drug or the amount of the cost share for which the beneficiary is responsible for a prescription drug; or
(3) if a more affordable drug is available than one on the purchaser's formulary and the requirements for a therapeutic interchange under §§ 15-1633.1 through 15-1639 of this subtitle are met, selling the more affordable alternative to the beneficiary.
Therapeutic interchange
(c) This section may not be construed to alter the requirements for a therapeutic interchange under §§ 15-1633.1 through 15-1639 of this subtitle.

Credits

Added by Acts 2018, c. 217, § 1, eff. Oct. 1, 2018; Acts 2018, c. 218, § 1, eff. Oct. 1, 2018. Amended by Acts 2021, c. 109, § 5; Acts 2021, c. 358, § 1, eff. Jan. 1, 2022.
MD Code, Insurance, § 15-1611, MD INSURANCE § 15-1611
Current through legislation effective through April 25, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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