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§ 4004. Certain payment structures prohibited

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 Pa.C.S.A. InsuranceEffective: July 1, 2020

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 40 Pa.C.S.A. Insurance (Refs & Annos)
Part II. Regulation of Insurers and Related Persons Generally (Refs & Annos)
Chapter 40. Medication Synchronization
Effective: July 1, 2020
40 Pa.C.S.A. § 4004
§ 4004. Certain payment structures prohibited
Currentness
(a) Prorated dispensing fees.--A health insurance plan providing prescription drug coverage may not use payment structures incorporating prorated dispensing fees.
(b) Full payment.--Dispensing fees for a partial supply or refilled prescriptions shall be paid in full for each maintenance medication dispensed, regardless of any prorated copay for the beneficiary or fee paid for alignment services.

Credits

2019, July 2, P.L. 333, No. 46, § 1, effective in 365 days [July 1, 2020].
40 Pa.C.S.A. § 4004, PA ST 40 Pa.C.S.A. § 4004
Current through Act 11 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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