A pharmacy benefit manager or health carrier must not require, or demonstrate a preference for, a pharmacy to dispense a therapeutically equivalent or therapeutically alternative drug that costs the enrollee more out-of-pocket than the prescribed drug, unless the substitution is made for medical reasons that benefit the patient. Before a substitution is made under this section, the pharmacy must obtain approval from the prescribing practitioner and must inform the enrollee of the reason for the substitution.
2019 c 39 s 8
Structure Minnesota Statutes
Chapters 59A - 79A — Insurance
Chapter 62W — Minnesota Pharmacy Benefit Manager
Section 62W.03 — License To Do Business.
Section 62W.04 — Pharmacy Benefit Manager General Business Practices.
Section 62W.05 — Pharmacy Benefit Manager Network Adequacy.
Section 62W.06 — Pharmacy Benefit Manager Transparency.
Section 62W.07 — Pharmacy Ownership Interest; Pharmacy Services.
Section 62W.075 — Therapeutic Alternative Prescription Drug.
Section 62W.076 — Specialty Pharmacy.
Section 62W.077 — Preferred Network.
Section 62W.08 — Maximum Allowable Cost Pricing.
Section 62W.09 — Pharmacy Audits.
Section 62W.10 — Synchronization.
Section 62W.11 — Gag Clause Prohibition.
Section 62W.12 — Point Of Sale.