Legislation


Mont. Code Ann. § 33-22-173. Maximum allowable cost or reference price list — appeals process: Disability Insurance General Provisions – Montana

Status: Enacted
Year Enacted: 2015
File: Download

If the final determination is a denial of the pharmacy’s appeal, the pharmacy benefit manager shall state the reason for the denial and provide the national drug code of an equivalent drug that is available for purchase by pharmacies in this state from national or regional wholesalers at a price that is equal to or less than the maximum allowable cost for that drug.


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