California § 1385.0027. 1385.0027. (Added by Stats. 2025, Ch. 605, Sec. 9.)

California Statutes

§ 1385.0027. — 1385.0027. (Added by Stats. 2025, Ch. 605, Sec. 9.)

California § 1385.0027.

JurisdictionCalifornia

Code HSCHealth and Safety Code - HSC

Div. 2.DIVISION 2. LICENSING PROVISIONS

Ch. 2.2.CHAPTER 2.2. Health Care Service Plans

Art. 6.1.ARTICLE 6.1. Pharmacy Benefit Managers

This text of California § 1385.0027. (1385.0027. (Added by Stats. 2025, Ch. 605, Sec. 9.)) 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 § 1385.0027. (2026).

Text

A pharmacy benefit manager shall not do any of the following:

(a)Require a plan participant to use only an affiliated pharmacy if there are nonaffiliated pharmacies in the network.

(b)Financially induce a plan participant to transfer a prescription only to an affiliated pharmacy if there are nonaffiliated pharmacies in the network.

(c)Require a nonaffiliated pharmacy to transfer a prescription to an affiliated pharmacy if there are nonaffiliated pharmacies in the network. This section does not prevent a purchaser or pharmacy benefit manager from offering to plan participants financial incentives to use a particular pharmacy, such as lower copays, coinsurance, or any other cost sharing for a prescription when the prescription is dispensed.

(d)Unreasonably restrict a plan participa

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A pharmacy benefit manager shall not do any of the following:
(a)
Require a plan participant to use only an affiliated pharmacy if there are nonaffiliated pharmacies in the network.
(b)
Financially induce a plan participant to transfer a prescription only to an affiliated pharmacy if there are nonaffiliated pharmacies in the network.
(c)
Require a nonaffiliated pharmacy to transfer a prescription to an affiliated pharmacy if there are nonaffiliated pharmacies in the network. This section does not prevent a purchaser or pharmacy benefit manager from
offering to plan participants financial incentives to use a particular pharmacy, such as lower copays, coinsurance, or any other cost sharing for a prescription when the prescription is dispensed.
(d)
Unreasonably restrict a plan participant from using a particular contracted pharmacy for the purpose of receiving pharmacist services covered by the plan participant’s contract or policy.
(e)
Communicate to or mislead a plan participant, in any manner, that the plan participant is required to have a prescription dispensed at, or pharmacy services provided by, a particular affiliated pharmacy or pharmacies if there are other nonaffiliated pharmacies that have the ability to dispense the medication or provide the services and are also in network.
(f)
Deny a nonaffiliated contract pharmacy the opportunity to participate in a pharmacy benefit manager network as preferred participation status if the pharmacy is willing to accept the same terms and conditions that the pharmacy benefit manager has established for affiliated pharmacies as a condition of preferred network participation status.