{"data":{"id":"us-mt/33-2-2410","jurisdiction":"us-mt","citation":"33-2-2410","heading":"Federal 340B drug pricing program.","body":"A pharmacy benefit manager or health carrier may not:\n(1) prohibit a federally certified health entity or a pharmacy under contract with an entity to provide pharmacy services from participating in the pharmacy benefit manager's or health carrier's provider network;\n(2) reimburse a federally certified health entity or a pharmacy under contract with an entity differently than it reimburses other similarly situated pharmacies;\n(3) require a claim for a drug to include a modifier to indicate that the drug is a 340B drug unless the claim is for payment, directly or indirectly, by the medicaid program provided for in Title 53, chapter 6, part 1; or\n(4) create a restriction or an additional charge on a patient who chooses to receive drugs from a federally certified health entity or a pharmacy under contract with an entity, including but not limited to a patient's inability to fully pay a copayment. (Subsection (3) terminates June 1, 2029--sec. 34, Ch. 8, L. 2025.)","path":["TITLE 33. INSURANCE AND INSURANCE COMPANIES","CHAPTER 2. REGULATION OF INSURANCE COMPANIES","Part 24. Pharmacy Benefit Manager Oversight"],"source_url":"https://mca.legmt.gov/bills/mca/title_0330/chapter_0020/part_0240/section_0100/0330-0020-0240-0100.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:52:20Z","sha256":"ac50f481940d054edd8e5319d642b96841aa6ac5789f72b5024e949dce06957b","source_id":"us-mt","stale":false,"prev":"us-mt/33-2-2409","next":"us-mt/33-2-2411"},"notice":"GroundRules: Original legal text. Not legal advice."}