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Current as of January 01, 2025 | Updated by Findlaw Staff
A health insurance policy shall permit and apply a prorated daily cost-sharing rate to maintenance medications that are dispensed by a pharmacy as a partial supply if the pharmacist or prescriber determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of medication synchronization. The fill or refill under this section shall be limited to three times per year for each maintenance medication for a covered individual. For each clinically necessary synchronization thereafter, approval may be required at the discretion of the health insurance policy.
Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 Pa.C.S.A. Insurance § 4002. Prorated daily cost-sharing rate - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-pacsa-insurance/pa-csa-sect-40-4002/
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