Michigan § 550.831 Contractual restrictions and limitations with pharmacists or pharmacies; disclosure of costs; payment at point of sale.

Michigan Statutes

§ 550.831 — Contractual restrictions and limitations with pharmacists or pharmacies; disclosure of costs; payment at point of sale.

Michigan § 550.831

Ch. 550GENERAL INSURANCE LAWS

Act 11 of 2022PHARMACY BENEFIT MANAGER LICENSURE AND REGULATION ACT (550.811-550.845)

This text of Michigan § 550.831 (Contractual restrictions and limitations with pharmacists or pharmacies; disclosure of costs; payment at point of sale.) is published on Counsel Stack Legal Research, covering Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Mich. Comp. Laws § 550.831 (2026).

Text

PHARMACY BENEFIT MANAGER LICENSURE AND REGULATION ACT (EXCERPT) Act 11 of 2022 550.831 Contractual restrictions and limitations with pharmacists or pharmacies; disclosure of costs; payment at point of sale. Sec. 21.

(1)A contract between a pharmacy benefit manager and a pharmacist or a pharmacy that provides drug coverage for health plans must not prohibit or restrict a pharmacy or pharmacist from, or penalize a pharmacy or pharmacist for, disclosing to a covered person or enrollee health care information that the pharmacy or pharmacist considers appropriate regarding any of the following:

(a)The nature of the treatment or the risks or the alternatives to the treatment.

(b)The availability of alternate therapies, consultations, or tests.

(2)A pharmacy benefit manager shall not prohibit

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PHARMACY BENEFIT MANAGER LICENSURE AND REGULATION ACT (EXCERPT) Act 11 of 2022 550.831 Contractual restrictions and limitations with pharmacists or pharmacies; disclosure of costs; payment at point of sale. Sec. 21. (1) A contract between a pharmacy benefit manager and a pharmacist or a pharmacy that provides drug coverage for health plans must not prohibit or restrict a pharmacy or pharmacist from, or penalize a pharmacy or pharmacist for, disclosing to a covered person or enrollee health care information that the pharmacy or pharmacist considers appropriate regarding any of the following: (a) The nature of the treatment or the risks or the alternatives to the treatment. (b) The availability of alternate therapies, consultations, or tests. (2) A pharmacy benefit manager shall not prohibit a pharmacy or pharmacist from discussing information regarding the total cost for pharmacist services for a drug or from selling a more affordable alternative to the covered person or enrollee if a more affordable alternative is available. (3) A carrier, health plan, or pharmacy benefit manager shall not require a covered person or enrollee to make a payment for a prescription drug at the point of sale in an amount greater than the lesser of the following: (a) The applicable copayment, coinsurance, and deductible. (b) The final reimbursement amount to the network pharmacy.