North Dakota § 26.1-36-12.2 Freedom of choice for pharmacy services

North Dakota Statutes

§ 26.1-36-12.2 — Freedom of choice for pharmacy services

North Dakota § 26.1-36-12.2

Title 26.1Insurance

Ch. 26.1-36Accident and Health Insurance

This text of North Dakota § 26.1-36-12.2 (Freedom of choice for pharmacy services) is published on Counsel Stack Legal Research, covering North Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.D. Cent. Code § 26.1-36-12.2 (2026).

Text

1.No third-party payer, including a health care insurer as defined in section 26.1-47-01, providing pharmacy services and prescription drugs to any beneficiary may:

a.Prevent a beneficiary from selecting the pharmacy or pharmacist of the beneficiary's choice to provide pharmaceutical goods and services, provided that pharmacist or pharmacy is licensed in this state;

b.Impose upon any beneficiary selecting a participating or contracting provider a copayment, fee, or other condition not equally imposed upon all beneficiaries in the plan selecting a participating or contracting provider; or

c.Deny any pharmacy or pharmacist the right to participate as a preferred provider under chapter 26.1-47 or as a contracting provider for any policy or plan, provided the pharmacist or pharmacy is lice

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1. No third-party payer, including a health care insurer as defined in section 26.1-47-01,
providing pharmacy services and prescription drugs to any beneficiary may:
a. Prevent a beneficiary from selecting the pharmacy or pharmacist of the
beneficiary's choice to provide pharmaceutical goods and services, provided that
pharmacist or pharmacy is licensed in this state;
b. Impose upon any beneficiary selecting a participating or contracting provider a
copayment, fee, or other condition not equally imposed upon all beneficiaries in
the plan selecting a participating or contracting provider; or
c. Deny any pharmacy or pharmacist the right to participate as a preferred provider
under chapter 26.1-47 or as a contracting provider for any policy or plan, provided
the pharmacist or pharmacy is licensed in this state, and accepts the terms of the
third-party payer's contract.
2. Notwithstanding the provisions of subsection 1, the department of health and human
services may exclude, from participation in the medical assistance program
administered under chapter 50-24.1 and title XIX of the Social Security Act
[Pub. L. 89-97; 79 Stat. 343; 42 U.S.C. 1396 et seq.], as amended, any provider of
pharmacy services who does not agree to comply with state and federal requirements
governing the program, or who, after so agreeing, fails to comply with those
requirements.
3. Any provision in a health insurance policy in this state which violates the provisions in
subsection 1 is void.
4. Any person who violates this section is guilty of a class A misdemeanor and each
violation is a separate offense. The commissioner may levy an administrative penalty
not to exceed ten thousand dollars for a violation of this section.
5. The insurance commissioner shall enforce the provisions of this section.