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§ 3761-509. Program generally

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 72 P.S. Taxation and Fiscal AffairsEffective: November 21, 2016

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 72 P.S. Taxation and Fiscal Affairs
Chapter 3. State Fiscal Affairs in General (Refs & Annos)
State Lottery Law (Refs & Annos)
Chapter 5. Pharmaceutical Assistance for the Elderly (Refs & Annos)
Subchapter B. Programs (Refs & Annos)
Effective: November 21, 2016
72 P.S. § 3761-509
§ 3761-509. Program generally
The program shall include the following:
(1) Participating pharmacies shall be paid within 21 days of the contracting firm receiving the appropriate substantiation of the transaction. Pharmacies shall be entitled to interest for payment not made within the 21-day period at a rate approved by the board.
(2) Collection of the copayment by pharmacies shall be mandatory.
(3) Claimants are not required to maintain records of each transaction.
(4) A system of rebates or reimbursements to claimants for pharmaceutical expenses shall be prohibited.
(5) PACE shall include participant copayment schedules for each prescription, including a copayment for generic or multiple-source drugs that is less than the copayment for single-source drugs. The department shall annually calculate the copayment schedules based on the Prescription Drugs and Medical Supplies Consumer Price Index. When the aggregate impact of the Prescription Drugs and Medical Supplies Consumer Price Index equals or exceeds $1, the department shall adjust the copayment schedules. Each copayment schedule shall not be increased by more than $1 in a calendar year.
(6) Repealed by 2016, Nov. 21, P.L. 1318, No. 169, § 1101(2), imd. effective.
(7) In no case shall the Commonwealth or any claimant be charged more than the price of the drug at the particular pharmacy on the date of the sale.
(8) The Governor may, based upon certified State Lottery Fund revenue that is provided to both the chairman and minority chairman of the Appropriations Committee of the Senate and the chairman and minority chairman of the Appropriations Committee of the House of Representatives, and after consultation with the board, decrease the eligibility limits established in this subchapter.

Credits

1971, Aug. 26, P.L. 351, No. 91, § 509, added 1996, Nov. 21, P.L. 741, No. 134, § 2, imd. effective. Amended 2003, Nov. 26, P.L. 212, No. 37, § 2; 2006, July 7, P.L. 1061, No. 111, § 4, imd. effective. Affected 2016, Nov. 21, P.L. 1318, No. 169, § 1101, imd. effective.
72 P.S. § 3761-509, PA ST 72 P.S. § 3761-509
Current through Act 13 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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