No agreement between a program administrator and a pharmacy shall establish reimbursement rates or procedures that result in reimbursement rates for services rendered to persons covered by the plan which are less than the usual and customary rates paid by consumers not covered by a third party plan for the same or similar services.
Structure Code of Alabama
Title 34 - Professions and Businesses.
Chapter 23 - Pharmacists and Pharmacies.
Article 5 - Third Party Prescription Program.
Section 34-23-110 - Short Title.
Section 34-23-111 - "Third Party Prescription Program" Defined.
Section 34-23-112 - Required Contractual Provisions.
Section 34-23-113 - Cancellation of Program; Use of Identity Card After Cancellation.
Section 34-23-114 - Denial of Payment.
Section 34-23-115 - Reimbursement Rates.
Section 34-23-116 - Article Not Applicable to Certain Services.
Section 34-23-117 - No Programs to Be Instituted Until Notice Given.
Section 34-23-118 - Compliance With Article Required of All Programs.