Position: Support

Summary: Prohibits carriers that offer/issue a health plan that covers pharmaceutical services, including Rx drug coverage, from:

  • limiting or restricting which pharmacy a covered individual chooses
  • increasing or imposing copayments, fees or cost sharing for a pharmacy the covered person chooses.
  • Denying a pharmacy/pharmacist the right to partake in any of its pharmacy network contracts or as a provider if they have a valid CO License and agrees to specified conditions

This would not apply to: pharmacy services administered to someone receiving inpatient or emergency medical care in a licensed health facility,  a carrier that offers managed care plans and provides a majority of covered professional services through physicians employed by the carrier, a self-funded plan that is exempt from state regulation, or a plan issued for coverage for state/federal employees.

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