Pennsylvania Code § 40-4004

Certain payment structures prohibited.
Open in Lexace · Ask the AI about this section
(a) Prorated dispensing fees.-- A health insurance plan providing prescription drug coverage may not use payment structures incorporating prorated dispensing fees.
(b) Full payment.-- Dispensing fees for a partial supply or refilled prescriptions shall be paid in full for each maintenance medication dispensed, regardless of any prorated copay for the beneficiary or fee paid for alignment services.

‹ Prev All Pennsylvania sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.