No pharmacy benefit manager or health carrier shall require an enrollee to make a payment at the point of sale for a covered prescription drug in an amount greater than the lesser of:
(1) the applicable co-payment for the prescription drug;
(2) the allowable claim amount for the prescription drug; or
(3) the amount an enrollee would pay for the prescription drug if the enrollee purchased the prescription drug without using a health plan or any other source of prescription drug benefits or discounts.
2019 c 39 s 15
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.