{"data":{"id":"us-ut/utah-code-31a-46-310","jurisdiction":"us-ut","citation":"Utah Code § 31A-46-310","heading":"Prohibited actions with respect to a federally qualified health center.","body":"(1) As used in this section, \"federally qualified health center\":\n(a) means the same as that term is defined in 42 U.S.C. Sec. 1395x(aa)(4); and\n(b) includes the pharmacy or pharmacies that are operated by or contract with a federally qualified health center described in Subsection (1)(a) to dispense drugs purchased through the federally qualified health center.\n(2) This section applies to a contract entered into or renewed on or after January 1, 2022, between an insurer and a pharmacy described in Subsection (1)(b).\n(3) An insurer may not vary the amount that the insurer reimburses to a federally qualified health center for a drug on the basis of whether:\n(a) the drug is a 340B drug; or\n(b) the pharmacy is a 340B entity.\n(4) Subsection (3) does not apply to a drug reimbursed, directly or indirectly, by the Medicaid program.\n(5) An insurer or an insurer's pharmacy service entity may not:\n(a) on the basis that a federally qualified health center participates, directly or through a contractual arrangement, in the 340B drug discount program:\n(i) assess a fee, charge-back, or other adjustment on a federally qualified health center;\n(ii) restrict access to the insurer's pharmacy network;\n(iii) require the federally qualified health center to enter into a contract with a specific pharmacy to participate in the insurer's pharmacy network;\n(iv) create a restriction or an additional charge on a patient who chooses to receive drugs from a federally qualified health center; or\n(v) create any additional requirements or restrictions on the federally qualified health center; or\n(b) 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.","path":["Title 31A Insurance Code","Chapter 31A-46 Pharmacy Benefits Act","Part 31A-46-3 Operating Requirements"],"source_url":"https://le.utah.gov/xcode/Title31A/Chapter46/31A-46-S310.html","current_through":"2026 General Session","vintage":"","retrieved_at":"2026-09-03T11:34:33Z","sha256":"62ee371d0b6355b52b7c6e9295c1add1e67a522ee9e77a4009ecd201f6829b33","source_id":"us-ut","stale":false,"prev":"us-ut/utah-code-31a-46-309","next":"us-ut/utah-code-31a-46-311"},"notice":"GroundRules: Original legal text. Not legal advice."}