215 ILCS 5/356z.45: Coverage for patient care services provided by a pharmacist.
Where this section sits in the code
- CHAPTER 215 INSURANCE
- Illinois Insurance Code.
A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if:
(1) the pharmacist meets the requirements and scope of practice as set forth in Section 43 or Section 43.5 of the Pharmacy Practice Act;
(2) the health plan provides coverage for the same service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;
(3) the pharmacist is included in the health benefit plan's network of participating providers; and
(4) a reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.
Collected 2026-09-15T04:46:30Z. Source file · JSON