Washington § 48.43.430 Prescription medication—Maximum charge at point of sale—Requirements.

Washington Statutes

§ 48.43.430 — Prescription medication—Maximum charge at point of sale—Requirements.

Washington § 48.43.430

Title 48INSURANCE

Ch. 48.43INSURANCE REFORM

This text of Washington § 48.43.430 (Prescription medication—Maximum charge at point of sale—Requirements.) is published on Counsel Stack Legal Research, covering Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Wash. Rev. Code § 48.43.430 (2026).

Text

(1)Beginning January 1, 2021, the maximum amount a health carrier or pharmacy benefit manager may require a person to pay at the point of sale for a covered prescription medication is the lesser of:

(a)The applicable cost sharing for the prescription medication; or

(b)The amount the person would pay for the prescription medication if the person purchased the prescription medication without using a health plan.

(2)A health carrier or pharmacy benefit manager may not require a pharmacist to dispense a brand name prescription medication when a less expensive therapeutically equivalent generic prescription medication is available.

(3)For purposes of this section, "pharmacy benefit manager" has the same meaning as in *RCW 19.340.010 . *Reviser's note: RCW 19.340.010 was repealed by 20

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(1) Beginning January 1, 2021, the maximum amount a health carrier or pharmacy benefit manager may require a person to pay at the point of sale for a covered prescription medication is the lesser of:

(a) The applicable cost sharing for the prescription medication; or

(b) The amount the person would pay for the prescription medication if the person purchased the prescription medication without using a health plan.

(2) A health carrier or pharmacy benefit manager may not require a pharmacist to dispense a brand name prescription medication when a less expensive therapeutically equivalent generic prescription medication is available.

(3) For purposes of this section, "pharmacy benefit manager" has the same meaning as in *RCW 19.340.010 .

*Reviser's note: RCW 19.340.010 was repealed by 2020 c 240 s 19, effective January 1, 2022. For later enactment, see RCW 48.200.020 .