Legislation
SECTION 6826-A
Reducing certain copayments
Education (EDN) CHAPTER 16, TITLE 8, ARTICLE 137
§ 6826-a. Reducing certain copayments. 1. Where an insured's copayment
for a drug exceeds the corresponding retail price for the same drug on
the pharmacy's drug retail price list, the pharmacist shall notify the
insured of this occurrence and charge no greater than the pharmacy's
corresponding retail price.
2. Where the drug being purchased is not on the drug retail price
list, and the copayment for the drug exceeds the pharmacy's usual and
customary price for that drug, the pharmacist shall notify the insured
of this occurrence and charge the lesser of the insured's copayment and
the pharmacy's usual and customary price for that drug.
for a drug exceeds the corresponding retail price for the same drug on
the pharmacy's drug retail price list, the pharmacist shall notify the
insured of this occurrence and charge no greater than the pharmacy's
corresponding retail price.
2. Where the drug being purchased is not on the drug retail price
list, and the copayment for the drug exceeds the pharmacy's usual and
customary price for that drug, the pharmacist shall notify the insured
of this occurrence and charge the lesser of the insured's copayment and
the pharmacy's usual and customary price for that drug.