Code of Alabama |
Match Context and Document information |
URL: | http://alisondb.legislature.state.al.us/alison/CodeOfAlabama /1975/27-45A-5.htm |
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Depth: | 0 singles |
Size: | 1,675 bytes |
Modified: | 2020-01-07 11:12:08 |
Categories: | -None- |
Title: | 27-45A-5 |
Description: | -None- |
Keywords: | -None- |
Meta data: | -None- |
Body: | Section 27-45A-5 Disclosure of cost share information; discussion and sale of prescription drug alternatives; prohibited payment practices. (a) A pharmacy or pharmacist may provide a covered person with information regarding the amount of the covered person's cost share for a prescription drug. Neither a pharmacy nor a pharmacist shall be proscribed by a pharmacy benefits manager from discussing any such information or for selling a more affordable alternative to the covered person if such an alternative is available. (b) A health benefit plan that covers prescription drugs may not include a provision that requires an enrollee to make a payment for a prescription drug at the point of sale in an amount that exceeds the lessor of: (1) the contracted co-payment amount; or (2) the amount an individual would pay for a prescription if that individual were paying with cash. (c) For purposes of this section, the following words have the following meanings: (1) COVERED PERSON. Any individual, family, or family member on whose behalf third-party payment or prepayment of health or medical expenses is provided under a health benefit plan. (2) ENROLLEE. A person named on a policy or certificate of coverage under a health benefit plan. (3) HEALTH BENEFIT PLAN. As defined in Section 27-54A-2. (Act 2019-457, ยง5.) |