Legislation


A 7199 – New York

Status: Inactive / Dead
Year Introduced: 2017
Link: https://assembly.state.ny.us/leg/?default_fld=&bn=A07199&term=2017&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y

Any policy that provides coverage for prescription drugs and also provides coverage for cancer chemotherapy treatment shall permit each insured to fill any covered prescription under paragraph twelve-a of this subsection that may be obtained at a network participating mail order or other non-retail pharmacy, at the insured’s option, from a network participating oncologist providing services in accordance with section sixty-eight hundred seven of the education law. Any policy providing such coverage shall not impose a co-payment fee or other condition on any insured who elects to purchase oral anticancer medications from a prescribing network participating oncologist which is not also imposed on insureds electing to purchase drugs from a network participating mail order or other non-retail pharmacy. The policy shall not exclude from network participation any oncologist dispensing or involved in the provision of pharmacy services in accordance with section sixty-eight hundred seven of the education law due to their dispensing or the provision of said pharmacy services. This paragraph shall also apply to any pharmacy benefits manager as defined in section two hundred eighty-a of the public health law.


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