215 Ill. Comp. Stat. § 134/72. Pharmacy providers: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted
Year Enacted: 2000
A health care plan shall apply the same co-insurance, copayment, and deductible factors to all drug prescriptions filled by a pharmacy provider that participates in the health care plan’s network. A health care plan may […]
Status: Enacted
Year Enacted: 2004
No appropriation may be expended for prescription drug benefits under the State Employees Group Insurance Act of 1971 unless the benefit program allows all prescription drug benefits to be provided on the same terms and […]
63 Pa. Cons. Stat. § 390-8. Unlawful acts: Pharmacy Acts – Pennsylvania
Status: Enacted
Year Enacted: 1961
It shall be unlawful for any pharmacist to dispense an emergency prescription, unless the pharmacist does the specified. For example, the pharmacist must first attempt to obtain an authorization from the authorized prescriber and cannot […]
Status: Enacted
Year Enacted: 2003
Medicaid shall make available the preferred drug list to Alabama Medicaid providers
Status: Enacted
Year Enacted: 1988
Any willing provider law for pharmaceutical services.
Status: Enacted
Year Enacted: 2016
Statute gives the Board of Pharmacy the authority to make rules and regulate the practice of pharmacy. The board and its members are immunized from state and federal antitrust laws, if they adopt a rule […]
Ala. Code § 36-35-7. Combined negotiations: Alabama Prescription Cost Initiative and Board – Alabama
Status: Enacted
Year Enacted: 2004
If the board through its executive director finds that it is beneficial to another state program to combine drug pricing negotiations to maximize drug rebates, the board through its executive director shall do so
Ala. Code §§ 22-2A-1 through 22-2A-6: Joint Drug Purchase Program for Certain State Agencies – Alabama
Status: Enacted
Year Enacted: 2002
Due to the high cost of pharmaceutical goods, the legislature authorizes the state to pool its buying power in the pharmaceutical markets and State Health Officer to negotiate rebates and discounts from pharmaceutical manufacturers.
Status: Enacted
Year Enacted: 2018
Provides regulation of pharmacy benefit managers, such as they may not prohibit a pharmacist or pharmacy from providing an insured individual information on the amount of the insured’s cost share for the insured’s prescription drug […]
Status: Enacted
Year Enacted: 2007
Sets forth the Arkansas Pharmacy Audit Bill of Rights, which, among other rights, states that when an audit of the records of a pharmacy is conducted by a managed-care company, an insurance company, a third-party […]
Cal. Health & Safety Code §§ 1367 through 1374.195: Knox-Keene Health Care Service Plan Act of 1975 — Standards – California
Status: Enacted
Year Enacted: 1975
A health care service plan that issues, sells, renews, or offers health care service plan contracts for health care coverage in this state, including a grandfathered health plan, but not including specialized health care service […]
Colo. Rev. Stat. § 10-16-122. Access to prescription drugs: Colorado Health Care Coverage Act – Colorado
Status: Enacted
Year Enacted: 1998
A pharmacy benefit manager shall allow participation by any provider in the network service area. Regulates other aspects of any service provided by a pharmacy benefit manager.
Status: Enacted
Year Enacted: 2013
Outlines the requirements for any pharmacy benefit manager that audits a pharmacy. It also outlines the types of materials that a pharmacy must keep and provide to any auditor.
Status: Enacted
Year Enacted: 2018
A consumer has the right to know about any options they have to reduce costs of drugs at a pharmacy. This act mandates that pharmacies provide information about the price of perscription drugs.
Status: Enacted
Year Enacted: 2018
If a pharmacy has entered into an agreement with a provider to dispense injectable antagonist medication for drug assisted therapy, they may charge a higher fee.
Status: Enacted
Year Enacted: 2016
Any health benefit plan that provides medical expense insurance can also cover pharmaceutical services as long as the pharmacist is covered in the plans network and the plan does not charge more dependeing on whether […]
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