Pennsylvania Statutes Title 63 P.S. Professions and Occupations (State Licensed) § 390-9.6. Price disclosure

(1) The current pharmacy retail price of the brand-name drug and any generically equivalent drug available at the pharmacy, where applicable.

(2) The consumer's cost-sharing amount of the brand-name drug and any generically equivalent drug available at the pharmacy, where applicable.

(3) Information on where to apply for health coverage through the Commonwealth's official health insurance exchange, using materials developed by the exchange authority, which shall be made available on the exchange authority's publicly accessible Internet website and shared with the board.

(4) A disclaimer, which shall be included with the information required under this section.  The disclaimer shall state:  “A consumer's health care choices, including whether a particular on-exchange health insurance policy is appropriate for the consumer, should not be based solely on the information provided, but should instead be considered in connection with the consumer's other health care and financial circumstances.”

(1) “Cost-sharing amount” means the amount owed by a policyholder under the terms of the policyholder's health insurance policy or as required by a pharmacy benefits manager.

(2) “Exchange authority” means the Pennsylvania Health Insurance Exchange Authority established under 40 Pa.C.S. § 9302 (relating to Pennsylvania Health Insurance Exchange Authority).

(3) “Generically equivalent drug” means the term as defined under section 2 of the act of November 24, 1976 (P.L. 1163, No. 259),  1 referred to as the Generic Equivalent Drug Law.

(4) “Health insurance policy” means the term as defined in 40 Pa.C.S. § 9103 (relating to definitions).

(5) “On-exchange health insurance policy” means a health insurance policy offered for purchase through the health insurance exchange of the Commonwealth operated by the exchange authority.

(6) “Pharmacy benefits manager” means the term as defined under section 103 of the act of November 21, 2016 (P.L. 1318, No. 169),  2 known as the “Pharmacy Audit Integrity and Transparency Act.”

(7) “Pharmacy retail price” means the price that an individual without prescription drug coverage or not using any other prescription medication benefit or discount would pay at a retail pharmacy, not including a pharmacist dispensing fee.