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Pennsylvania · Through 2024-08-21 (Statute Update stamp, 40 Pa.C.S.)

40 Pa.C.S. § 4004: Certain payment structures prohibited.

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Where this section sits in the code
  1. Title 40 - INSURANCE
  2. PART II REGULATION OF INSURERS AND RELATED PERSONS GENERALLY
  3. CHAPTER 40 MEDICATION SYNCHRONIZATION

(a) Prorated dispensing fees.--A health insurance plan providing prescription drug coverage may not use payment structures incorporating prorated dispensing fees.

(b) Full payment.--Dispensing fees for a partial supply or refilled prescriptions shall be paid in full for each maintenance medication dispensed, regardless of any prorated copay for the beneficiary or fee paid for alignment services.

Collected 2026-09-02T16:33:08Z. Source file · JSON

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