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Illinois · Through at least Public Act 104-790

215 ILCS 5/356z.63: Coverage of pharmacy testing, screening, vaccinations, and treatment.

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Where this section sits in the code
  1. CHAPTER 215 INSURANCE
  2. 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, 2025 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 described in paragraph (15), (16), or (17) of subsection (d) of Section 3 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) reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.

Collected 2026-09-15T04:46:30Z. Source file · JSON

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