Montana Statutes
§ 33-22-174 — Opt-Out Of Reference Pricing -- Notification
Montana·Title 33 INSURANCE AND INSURANCE COMPANIES·Ch. 22 DISABILITY INSURANCE·Part 1 General Provisions
33-22-174 . Opt-out of reference pricing -- notification.
(1)A pharmacist or pharmacy in a network plan with a plan sponsor, health insurance issuer, or pharmacy benefit manager providing covered drugs on a reference pricing basis may decline to provide a brand-name drug, multisource generic drug, supply, or service if the reference pricing amount is less than the acquisition cost paid by the pharmacy or pharmacist.
(2)If a pharmacist or pharmacy declines to provide the prescription or service under the conditions in subsection (1), the pharmacy or pharmacist shall attempt to provide the customer with adequate information as to where the prescription for the drug, supply, or service may be filled.
(3)A pharmacy or pharmacist who declines to provide the prescription or service as provide
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Legislative History
En. Sec. 3, Ch. 136, L. 2017; amd. Sec. 16, Ch. 501, L. 2021.
Nearby Sections
15
§ 33-22-1001
Definition Of Home Health Care§ 33-22-1002
Availability Of Coverage For Home Health Care§ 33-22-1003
Applicability§ 33-22-101
Exceptions To Scope§ 33-22-102
Third-Party Ownership§ 33-22-103
Repealed§ 33-22-104
Through 33-22-106 Reserved§ 33-22-108
Reserved§ 33-22-109
Riders§ 33-22-110
Preexisting Conditions§ 33-22-1101
Short Title§ 33-22-1102
Purpose§ 33-22-1103
Compliance Required§ 33-22-1104
Scope