Iowa § 510B.8 Prescription drugs — point of sale

Iowa Statutes

§ 510B.8 — Prescription drugs — point of sale

Iowa § 510B.8

Title XIIICOMMERCE

Ch. 510BREGULATION OF PHARMACY BENEFITS MANAGERS

This text of Iowa § 510B.8 (Prescription drugs — point of sale) is published on Counsel Stack Legal Research, covering Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Iowa Code § 510B.8 (2026).

Text

1.A covered person shall not be required to make a cost-sharing payment at the point of sale for a prescription drug in an amount that exceeds the total amount that the pharmacy at which the covered person fills the covered person’s prescription drug order is reimbursed.

2.A pharmacy benefits manager shall not prohibit a pharmacy from disclosing the availability of a lower-cost prescription drug option to a covered person, or from selling a lower-cost prescription drug option to a covered person.

3.A pharmacy benefits manager shall not impose different cost-sharing or additional fees on a covered person based on the pharmacy at which the covered person fills a prescription drug order.

4.Forthepurposeofreducingpremiums, onehundredpercentofallrebatesreceivedbya pharmacy benefits manager

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1. A covered person shall not be required to make a cost-sharing payment at the point of
sale for a prescription drug in an amount that exceeds the total amount that the pharmacy at
which the covered person fills the covered person’s prescription drug order is reimbursed.
2. A pharmacy benefits manager shall not prohibit a pharmacy from disclosing the
availability of a lower-cost prescription drug option to a covered person, or from selling a
lower-cost prescription drug option to a covered person.
3. A pharmacy benefits manager shall not impose different cost-sharing or additional fees
on a covered person based on the pharmacy at which the covered person fills a prescription
drug order.
4. Forthepurposeofreducingpremiums, onehundredpercentofallrebatesreceivedbya
pharmacy benefits manager shall be passed through to the health carrier, or to the employee
plan sponsor as permitted by the federal Employee Retirement Income Security Act of 1974,
29 U.S.C. §1001, et seq.
5. Apharmacybenefitsmanagershallincludeanyamountpaidbyacoveredperson, oron
behalf of a covered person, when calculating the covered person’s total contribution toward
the covered person’s cost-sharing.
6. Any amount paid by a covered person for a prescription drug shall be applied to any
§510B.8, REGULATION OF PHARMACY BENEFITS MANAGERS 6
deductible imposed on the covered person by the covered person’s health benefit plan in
accordance with the health benefit plan’s coverage documents.
7. If a covered person’s policy, contract, or plan providing for third-party payment or
prepayment of health or medical expenses qualifies as a high-deductible health plan under
section 223 of the Internal Revenue Code, and a copayment, coinsurance, or deductible paid
by the covered person as a cost-sharing requirement under this chapter would result in the
covered person becoming ineligible for a health savings account associated with the covered
person’s high-deductible health plan, subsection 5 shall apply only after the covered person
satisfies the covered person’s minimum deductible, except for items or services determined
to be preventive care under section 223(c)(2)(C) of the Internal Revenue Code.