58-18-37 Freedom of choice for pharmacy services.
Freedom of choice for pharmacy services.
No policy of group health insurance
providing benefits for hospital and medical expenses delivered in this state that is offered by a
commercial health insurance company, by a nonprofit medical and surgical plan corporation, by a
nonprofit hospital service plan corporation, by a health maintenance organization, by a preferred
provider organization, by an individual practice association or by a similar mechanism may:
Deny any licensed pharmacy or licensed pharmacist as defined in § 36-11-2 the right to
participate as a participating provider for any policy or plan on the same terms and
conditions as are offered to any other provider of pharmacy services under the policy or
Prevent any person who is a party to or beneficiary of any health insurance policy from
selecting a licensed pharmacy of his choice to furnish the pharmaceutical services offered
under any policy or plan, provided that the pharmacy is a participating provider under the
same terms and conditions of the policy or plan as those offered to any other provider of
pharmacy services; or
Permit or mandate any difference in coverage for or impose any different conditions,
including copayment fees, whether the prescription benefits are provided through direct
contact with a pharmacy or by use of an out-of-state mail order service so long as the
provider selected is a participant in the plan involved.
SL 1990, ch 395, § 1.