§ 4004. Certain payment structures prohibited.
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/pa/title-40/chapter-40/4004A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§ 4004. Certain payment structures prohibited.
(a)Prorated dispensing fees.-- A health insurance plan providing prescription drug coverage may not use payment structures incorporating prorated dispensing fees.
(b)Full payment.-- Dispensing fees for a partial supply or refilled prescriptions shall be paid in full for each maintenance medication dispensed, regardless of any prorated copay for the beneficiary or fee paid for alignment services.
40c4005s