§ 4002. Prorated daily cost-sharing rate
Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 Pa.C.S.A. InsuranceEffective: July 1, 2020
Effective: July 1, 2020
40 Pa.C.S.A. § 4002
§ 4002. Prorated daily cost-sharing rate
A health insurance policy shall permit and apply a prorated daily cost-sharing rate to maintenance medications that are dispensed by a pharmacy as a partial supply if the pharmacist or prescriber determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of medication synchronization. The fill or refill under this section shall be limited to three times per year for each maintenance medication for a covered individual. For each clinically necessary synchronization thereafter, approval may be required at the discretion of the health insurance policy.
Credits
2019, July 2, P.L. 333, No. 46, § 1, effective in 365 days [July 1, 2020].
40 Pa.C.S.A. § 4002, PA ST 40 Pa.C.S.A. § 4002
Current through Act 11 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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