Connecticut General Statutes Title 38A. Insurance § 38a-479jjj. Contract with 340B covered entity. Prohibited provisions. Reimbursement rates. Regulations

(1) “340B covered entity” means an entity authorized to participate in the federal 340B Drug Pricing Program under 42 USC 256b(a)(4), as amended from time to time, and includes any pharmacy under contract with the entity to dispense drugs on behalf of the entity; and

(2) “Pharmacy benefits manager” has the same meaning as provided in section 38a-479aaa and includes a wholly or partially owned or controlled subsidiary of a pharmacy benefits manager.

(1) A reimbursement rate for a prescription drug that is less than the reimbursement rate paid to pharmacies that are not 340B covered entities;

(2) A fee or adjustment that is not imposed on providers or pharmacies that are not 340B covered entities;

(3) A fee or adjustment amount that exceeds the fee or adjustment amount imposed on providers or pharmacies that are not 340B covered entities;

(4) Any provision that prevents or interferes with a patient's choice to receive a prescription drug from a 340B covered entity, including the administration of the drug; and

(5) Any provision that excludes a 340B covered entity from pharmacy benefits manager networks based on the 340B covered entity's participation in the federal 340B Drug Pricing Program.