Section 21C. (a) For the purposes of this section, the following words shall have the following meanings unless the context clearly requires otherwise: ''Cost-sharing'', an amount owed by an individual under the terms of the individual's health benefit plan. ''Health benefit plan'', as defined in section 1 of chapter 176O. ''Pharmacy benefit manager'', as defined in section 1 of chapter 176Y. ''Pharmacy retail price'', the amount an individual would pay for a prescription drug at a pharmacy if the individual purchased that prescription drug at that pharmacy without using a health benefit plan or any other prescription medication benefit or discount. (b) At the point of sale, a pharmacy shall charge an individual for a prescription drug the lesser of: (i) the applicable cost-sharing amount; or (ii) the pharmacy retail price. (c) A health benefit plan or carrier shall not require an insured to make a cost-sharing payment for a prescription drug in an amount greater than that charged pursuant to subsection (b). (d) No contractual obligation between a pharmacy benefit manager and a pharmacist shall prohibit a pharmacist from complying with this section.
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