North Dakota Code § 26.1-36-12.2

Freedom of choice for pharmacy services
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1. No third-party payer, including a health care insurer as defined in section 26.1 -47-01, 
providing pharmacy services and prescription drugs to any beneficiary may:
a. Prevent a beneficiary from selecting the pharmacy or pharmacist of the 
beneficiary's choice to provide pharmaceutical goods and services, provided that 
pharmacist or pharmacy is licensed in this state;
b. Impose upon any beneficiary selecting a participating or contracting provider a 
copayment, fee, or other condition not equally imposed upon all beneficiaries in 
the plan selecting a participating or contracting provider; or
c. Deny any pharmacy or pharmacist the right to participate as a preferred provider 
under chapter 26.1-47 or as a contracting provider for any policy or plan, provided 
the pharmacist or pharmacy is licensed in this state, and accepts the terms of the 
third-party payer's contract.
2. Notwithstanding the provisions of subsection 1, the department of health and human 
services may exclude, from participation in the medical assistance program 
administered under chapter 50 -24.1 and title XIX of the Social Security Act 
[Pub. L. 89-97; 79 Stat. 343; 42 U.S.C. 1396 et seq.], as amended, any provider of 
pharmacy services who does not agree to comply with state and federal requirements 
governing the program, or who, after so agreeing, fails to comply with those 
requirements.
3. Any provision in a health insurance policy in this state which violates the provisions in 
subsection 1 is void.
4. Any person who violates this section is guilty of a class A misdemeanor and each 
violation is a separate offense. The commissioner may levy an administrative penalty 
not to exceed ten thousand dollars for a violation of this section.
5. The insurance commissioner shall enforce the provisions of this section.

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