Mont. Code § 33-2-2410

Current through the 2023 Regular Session
Section 33-2-2410 - Federal 340B drug pricing program

A pharmacy benefit manager or health carrier may not:

(1) prohibit a federally certified health entity or a pharmacy under contract with an entity to provide pharmacy services from participating in the pharmacy benefit manager's or health carrier's provider network;
(2) reimburse a federally certified health entity or a pharmacy under contract with an entity differently than it reimburses other similarly situated pharmacies;
(3) require a claim for a drug to include a modifier to indicate that the drug is a 340B drug unless the claim is for payment, directly or indirectly, by the medicaid program provided for in Title 53, chapter 6, part 1; or
(4) create a restriction or an additional charge on a patient who chooses to receive drugs from a federally certified health entity or a pharmacy under contract with an entity, including but not limited to a patient's inability to fully pay a copayment. (Subsection (3) terminates June 1, 2025-- sec. 1, Ch. 259, L. 2023.)

§ 33-2-2410, MCA

Amended by Laws 2023, Ch. 259,Sec. 1, eff. 4/25/2023.
Added by Laws 2021, Ch. 501,Sec. 10, eff. 5/12/2021.