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Current as of January 01, 2025 | Updated by Findlaw Staff
§ 356z.63. Coverage of pharmacy testing, screening, vaccinations, and treatment.
A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025 shall provide coverage for health care or patient care services provided by a pharmacist if:
(1) the pharmacist meets the requirements and scope of practice described in paragraph (15), (16), or (17) of subsection (d) of Section 3 of the Pharmacy Practice Act;
(2) the health plan provides coverage for the same service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;
(3) the pharmacist is included in the health benefit plan's network of participating providers; and
(4) reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.
Cite this article: FindLaw.com - Illinois Statutes Chapter 215. Insurance § 5/356z.63. Coverage of pharmacy testing, screening, vaccinations, and treatment - last updated January 01, 2025 | https://codes.findlaw.com/il/chapter-215-insurance/il-st-sect-215-5-356z-63/
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