Colorado § 10-16-1504 Applicability - exclusions

Colorado Statutes

§ 10-16-1504 — Applicability - exclusions

Colorado § 10-16-1504

Title 10Insurance

Art.Health-care Coverage

This text of Colorado § 10-16-1504 (Applicability - exclusions) is published on Counsel Stack Legal Research, covering Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Colo. Rev. Stat. § 10-16-1504 (2026).

Text

(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.