72 Pa. Stat. § 3761-515

Current through Pa Acts 2024-53, 2024-56 through 2024-111
Section 3761-515 - Reimbursement

For-profit third-party insurers, health maintenance organizations, preferred provider organizations, not-for-profit prescription plans, Medicare advantage plans and PDPs shall be responsible for any payments made to a providing pharmacy on behalf of a claimant covered by such a third party. Final determination as to the existence of third-party coverage shall be the responsibility of the department.

72 P.S. § 3761-515

1971, Aug. 26, P.L. 351, No. 91, § 515, added 1996, Nov. 21, P.L. 741, No. 134, § 2, imd. effective. Amended 2003, Nov. 26, P.L. 212, No. 37, §4, imd. effective; 2006 , July 7, P.L. 1061, No. 111, § 6.2, imd. effective.