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Section 4004 - Certain payment structures prohibited — Pennsylvania Law | CourtGPT
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Pennsylvania Legal Code

Section 4004 - Certain payment structures prohibited

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(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.