Colorado § 10-16-1504 Applicability - exclusions

Colorado Statutes

§ 10-16-1504 — Applicability - exclusions

Colorado·Title 10 Insurance·Art. Health-care Coverage

(1)This part 15 applies to any third party that reimburses 340B covered entities or contract pharmacies in this state.

(2)Nothing in this part 15:

(a)Prohibits a third party from maintaining differential reimbursement rates for participating and nonparticipating providers, so long as the rates are not determined on the basis of a provider's status as a 340B covered entity or contract pharmacy;

(b)Affects a third party's ability to establish coverage guidelines and exclude specific drugs from its prescription drug formularies, so long as the guidelines and exclusions are not determined on the basis of a provider's status as a 340B covered entity or contract pharmacy or of a drug's status as a 340B drug; or

(c)Requires a third party to contract with a 340B covered entity or c

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(1) This part 15 applies to any third
party that reimburses 340B covered entities or contract pharmacies in this state.

(2) Nothing in this part 15:

(a) Prohibits a third party from maintaining differential reimbursement rates
for participating and nonparticipating providers, so long as the rates are not
determined on the basis of a provider's status as a 340B covered entity or contract
pharmacy;

(b) Affects a third party's ability to establish coverage guidelines and
exclude specific drugs from its prescription drug formularies, so long as the
guidelines and exclusions are not determined on the basis of a provider's status as
a 340B covered entity or contract pharmacy or of a drug's status as a 340B drug; or

(c) Requires a third party to contract with a 340B covered entity or contract
pharmacy for purposes of participating in the third party's network, so long as the
third party's contracting decisions are not determined on the basis of a provider's
status as a 340B covered entity or contract pharmacy.

Colorado § 10-16-1504 (Applicability - exclusions) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.