40 Pa.C.S. § 4002: Prorated daily cost-sharing rate.
Where this section sits in the code
- Title 40 - INSURANCE
- PART II REGULATION OF INSURERS AND RELATED PERSONS GENERALLY
- CHAPTER 40 MEDICATION SYNCHRONIZATION
A health insurance policy shall permit and apply a prorated daily cost-sharing rate to maintenance medications that are dispensed by a pharmacy as a partial supply if the pharmacist or prescriber determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of medication synchronization. The fill or refill under this section shall be limited to three times per year for each maintenance medication for a covered individual. For each clinically necessary synchronization thereafter, approval may be required at the discretion of the health insurance policy.
Collected 2026-09-02T16:33:08Z. Source file · JSON