Ariz. Rev. Stat. § 20-1126. Health care insurers; pharmacy benefits managers; cost sharing; calculation; definitions: The Insurance Contract – Arizona

Status: Enacted
Year Enacted: 2019
Year Amended: 2020
File: Download

When calculating an enrollee’s contribution to any out-of-pocket maximum, deductible, copayment, coinsurance or other applicable cost sharing requirement, the health insurer that provides pharmacy benefits or a pharmacy benefits manager that administers pharmacy benefits for a health care insurer shall include any cost sharing amount paid either by either the enrollee or another person on behalf of the enrollee for a prescription drug that meets certain requirements.

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