Sec. 356z.45. Coverage for patient care services provided by a pharmacist.
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/il/chapter-215/act-5/356z-45A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Sec. 356z.45. Coverage for patient care services provided by a pharmacist. A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if:
(1)the pharmacist meets the requirements and scope of practice as set forth in
Section 43 or Section 43.5 of the Pharmacy Practice Act;
(2)the health plan provides coverage for the same service provided by a licensed
physician, an advanced practice registered nurse, or a physician assistant;
(3)the pharmacist is included in the health benefit plan's network of participating
providers; and
(4)a reimbursement has been successfully negotiated in good faith between the
pharmacist and the health plan.