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Code · Pennsylvania · Title 40 — INSURANCE · Chapter 40

§ 4002. Prorated daily cost-sharing rate.

109 words·~1 min read·/pa/title-40/chapter-40/4002

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§ 4002. Prorated daily cost-sharing rate.
A health insurance policy shall permit and apply a prorated daily cost-sharing rate to maintenance medications that are dispensed by a pharmacy as a partial supply if the pharmacist or prescriber determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of medication synchronization. The fill or refill under this section shall be limited to three times per year for each maintenance medication for a covered individual. For each clinically necessary synchronization thereafter, approval may be required at the discretion of the health insurance policy.
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