California § 1367.42. 1367.42. (Added by Stats. 2015, Ch. 619, Sec. 4.)

California Statutes

§ 1367.42. — 1367.42. (Added by Stats. 2015, Ch. 619, Sec. 4.)

California § 1367.42.

JurisdictionCalifornia

Code HSCHealth and Safety Code - HSC

Div. 2.DIVISION 2. LICENSING PROVISIONS

Ch. 2.2.CHAPTER 2.2. Health Care Service Plans

Art. 5.ARTICLE 5. Standards

This text of California § 1367.42. (1367.42. (Added by Stats. 2015, Ch. 619, Sec. 4.)) is published on Counsel Stack Legal Research, covering California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Cal. Health and Safety Code - HSC Code § 1367.42. (2026).

Text

(a)For plan years commencing on or after January 1, 2017, a plan that provides essential health benefits shall allow an enrollee to access prescription drug benefits at an in-network retail pharmacy unless the prescription drug is subject to restricted distribution by the United States Food and Drug Administration or requires special handling, provider coordination, or patient education that cannot be provided by a retail pharmacy.

(b)A nongrandfathered individual or small group health plan contract may charge an enrollee a different cost sharing for obtaining a covered drug at a retail pharmacy, but all cost sharing shall count toward the plan’s annual limitation on cost sharing consistent with Section 1367.006.

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(a)
For plan years commencing on or after January 1, 2017, a plan that provides essential health benefits shall allow an enrollee to access prescription drug benefits at an in-network retail pharmacy unless the prescription drug is subject to restricted distribution by the United States Food and Drug Administration or requires special handling, provider coordination, or patient education that cannot be provided by a retail pharmacy.
(b)
A nongrandfathered individual or small group health plan contract may charge an enrollee a different cost sharing for obtaining a covered drug at a retail pharmacy, but all cost sharing shall count toward the plan’s annual limitation on cost sharing consistent with
Section 1367.006.