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Section 10-16-1504 - Applicability - exclusions — Colorado Law | CourtGPT
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  4. Title 10 - Insurance General Provisions (§§ 10-1-101 — 10-1-312)/
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  7. Part 15 - 340b Prescription Drug Program Anti-discrimination Act/
  8. Section 10-16-1504 - Applicability - exclusions
Colorado Legal Code

Section 10-16-1504 - Applicability - exclusions

(1) This part 15 applies to any third party that reimburses 340B covered entities or contract pharmacies in this state.(2) Nothing in this part 15: (a) Prohibits a third party from maintaining differential reimbursement rates for participating and nonparticipating providers, so long as the rates are not determined on the basis of a provider's status as a 340B covered entity or contract pharmacy;(b) Affects a third party's ability to establish coverage guidelines and exclude specific drugs from its prescription drug formularies, so long as the guidelines and exclusions are not determined on the basis of a provider's status as a 340B covered entity or contract pharmacy or of a drug's status as a 340B drug; or(c) Requires a third party to contract with a 340B covered entity or contract pharmacy for purposes of participating in the third party's network, so long as the third party's contracting decisions are not determined on the basis of a provider's status as a 340B covered entity or contract pharmacy.Added by 2022 Ch. 312,§1, eff. 8/10/2022. 2022 Ch. 312, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
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