42 U.S.C. · The Public Health and Welfare
42 U.S.C. § 300gg19b

Information on prescription drugs

Ch. 6A — PUBLIC HEALTH SERVICE
Title 42 U.S.C. ● ACTIVE Primary Source Ch. 6A
Statutory Text

42 U.S.C. § 300gg19b — Information on prescription drugs

U.S.C. Title 42 - THE PUBLIC HEALTH AND WELFARE 42 U.S.C. United States Code, 2023 Edition Title 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 6A - PUBLIC HEALTH SERVICE SUBCHAPTER XXV - REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE Part A - Individual and Group Market Reforms Subpart II - Improving Coverage Sec. 300gg-19b - Information on prescription drugs From the U.S. Government Publishing Office, www.gpo.gov

§300gg–19b. Information on prescription drugs

(a) In general A group health plan or a health insurance issuer offering group or individual health insurance coverage shall— (1) not restrict, directly or indirectly, any pharmacy that dispenses a prescription drug to an enrollee in the plan or coverage from informing (or penalize such pharmacy for informing) an enrollee of any differential between the enrollee's out-of-pocket cost under the plan or coverage with respect to acquisition of the drug and the amount an individual would pay for acquisition of the drug without using any health plan or health insurance coverage; and (2) ensure that any entity that provides pharmacy benefits management services under a contract with any such health plan or health insurance coverage does not, with respect to such plan or coverage, restrict, directly or indirectly, a pharmacy that dispenses a prescription drug from informing (or penalize such pharmacy for informing) an enrollee of any differential between the enrollee's out-of-pocket cost under the plan or coverage with respect to acquisition of the drug and the amount an individual would pay for acquisition of the drug without using any health plan or health insurance coverage. (b) Definition For purposes of this section, the term "out-of-pocket cost", with respect to acquisition of a drug, means the amount to be paid by the enrollee under the plan or coverage, including any cost-sharing (including any deductible, copayment, or coinsurance) and, as determined by the Secretary, any other expenditure.

(July 1, 1944, ch. 373, title XXVII, §2729, as added Pub. L. 115–263, §2, Oct. 10, 2018, 132 Stat. 3672.)

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42 U.S.C. § 300gg19b
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The statutory text of 42 U.S.C. § 300gg19b is reproduced from the official United States Code as published by the Office of the Law Revision Counsel of the U.S. House of Representatives (uscode.house.gov).
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