{"data":{"id":"us-nc/n.c.-gen.-stat.-58-3-241","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 58-3-241","heading":"Healthcare services provided by pharmacists.","body":"(a)\tThe following definitions apply in this section:\n(1)\tHealthcare provider. - Either of the following:\na.\tAn individual who is licensed, certified, or otherwise authorized under Chapter 90 of the General Statutes to provide healthcare services in the ordinary course of business or practice of a profession or in an approved education or training program.\nb.\tA health care facility licensed under Chapter 131E or Chapter 122C of the General Statutes and where healthcare services are provided to patients.\n(2)\tHealthcare services. - Any of the following health or medical procedures or services rendered by a healthcare provider:\na.\tTesting, diagnosis, or treatment of a health condition, illness, injury, or disease. This includes testing, diagnosis, or treatment rendered by a pharmacist acting within the pharmacist's scope of practice.\nb.\tDispensing of drugs, medical devices, medical appliances, or medical goods for the treatment of a health condition, illness, injury, or disease.\nc.\tAdministration of a vaccine or medication.\n(3)\tPharmacist. - An individual licensed to practice pharmacy under Article 4A of Chapter 90 of the General Statutes or the relevant laws of another state.\n(b)\tA health benefit plan offered by an insurer in this State shall cover healthcare services provided by a pharmacist if all of the following conditions are met:\n(1)\tThe service or procedure was performed within the pharmacist's licensed lawful scope of practice.\n(2)\tThe health benefit plan would have covered the service if the service or procedure had been performed by another healthcare provider.\n(c)\tThe participation of a pharmacy in a drug benefit provider network of a health benefit plan shall not satisfy any requirement that insurers offering health benefit plans include pharmacists in medical benefit provider networks.\n(d)\tAn insurer shall accept a claim under this section regardless of whether it is submitted by a pharmacist or a pharmacy submitting the claim on behalf of a pharmacist the pharmacy employs or contracts with. (2025-37, ss. 5.2(a), 7.2(b).)","path":["Chapter 58. Insurance.","Article 3. General Regulations for Insurance."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_58/GS_58-3-241.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:06:53Z","sha256":"3bdb615299c13c8aed3818833dc919e4f568030711a659abe9218f4447171746","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-58-3-240","next":"us-nc/n.c.-gen.-stat.-58-3-245"},"notice":"GroundRules: Original legal text. Not legal advice."}