§1219. Affordable alternative options to prescription drugs
A. Pharmacists may provide sufficient information to a patient to allow him an
opportunity to consider all relevant options when acquiring prescription medication,
including but not limited to the cost and clinical efficacy of a more affordable alternative if
one is available and the ability to pay cash if a cash payment for the same drug is less than
an insurance copayment or deductible payment amount.
B. Failure to comply with this Section shall not constitute a violation of a
pharmacist's standard of care regarding the patient. No pharmacist shall be penalized by the
board or any third party for failure to comply with the provisions of this Section.
C.
(1)No pharmacy or pharmacist shall be bound to terms of a contract with a
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§1219. Affordable alternative options to prescription drugs
A. Pharmacists may provide sufficient information to a patient to allow him an
opportunity to consider all relevant options when acquiring prescription medication,
including but not limited to the cost and clinical efficacy of a more affordable alternative if
one is available and the ability to pay cash if a cash payment for the same drug is less than
an insurance copayment or deductible payment amount.
B. Failure to comply with this Section shall not constitute a violation of a
pharmacist's standard of care regarding the patient. No pharmacist shall be penalized by the
board or any third party for failure to comply with the provisions of this Section.
C.(1) No pharmacy or pharmacist shall be bound to terms of a contract with a
pharmacy benefit manager or other entity that administers prescription drug benefits that
prevent disclosure of the information provided for in this Section.
(2) On or after August 1, 2018, any contract provision prohibiting the
communication provided for in this Section shall be severable from the contract and
considered void and not enforceable in Louisiana.
D.(1) Any pharmacy or pharmacist who has a contract, either directly or through a
pharmacy services administration organization, with a pharmacy benefit manager
administering any type of drug or pharmacy benefit plan to provide covered drugs, devices,
or services at a contractual reimbursement rate may decline to provide a covered drug,
device, or service if the pharmacy or pharmacist will be or is paid less than the acquisition
cost for the covered drug, device, or service.
(2) If the pharmacy or pharmacist declines to provide the drug, device, or service as
authorized in this Subsection, then the pharmacy or pharmacist shall provide the customer
with adequate information as to where the prescription for the drug, device, or service may
be filled.
(3) No pharmacy benefit manager, pharmacy services administration organization,
or any person acting for or on behalf of a pharmacy benefit manager or pharmacy services
administration organization shall cancel any contract with the pharmacy or pharmacist, sue
for breach of contract, use the decision to decline as a cause for not renewing the contract,
or retaliate against or penalize the pharmacy or pharmacist in any way.
E. The commission of any act prohibited by this Section shall be considered an unfair
method of competition and unfair practice or act which shall subject the violator to any and
all actions, including investigative demands and private actions, remedies, and penalties,
provided for in the Unfair Trade Practices and Consumer Protection Law, R.S. 51:1401 et
seq.
F. Any provision of a contract that is contrary to any provision of this Section shall
be null, void, and unenforceable in this state.