Colo. Rev. Stat. § 10-16-122.7
Disclosures between pharmacists and patients - carrier and PBM prohibitions - enforcement - short title - legislative declaration - preemption by federal law - rules.
Effective Aug 7, 2023L. 2018: Entire section added, (HB 18-1284), ch. 181, p. 1233, § 1, effective August 8. L. 2019: (3)(a) amended, (HB 19-1172), ch. 136, p. 1655, § 48, effective October 1. L. 2023: (4) amended and (6) added, (HB 23-1227), ch. 160, p. 696, § 5, effective August 7.
- (1) The short title of this section is the Patient Drug Costs Savings Act.
(2) The general assembly hereby finds and declares that:
- (a) Consumers have the right to know about options to reduce the amount of money they pay at a pharmacy for prescription drugs; and
- (b) This section will save consumers money by allowing pharmacists to provide information concerning the cost of prescription drugs.
(3) A carrier that has a contract with a pharmacy or pharmacist, or a pharmacy benefit management firm acting on behalf of a carrier, shall not:
- (a) Prohibit a pharmacy or pharmacist from providing a covered person information on the amount of the covered person's cost share for the covered person's prescription drug and the clinical efficacy of a more affordable alternative drug that is therapeutically equivalent, as defined in section 12-280-103 (52), to the prescribed drug if one is available;
- (b) Penalize a pharmacy or a pharmacist for disclosing the information described in subsection (3)(a) of this section to a covered person or selling a more affordable alternative to a covered person; or
- (c) Require a pharmacy to charge or collect a copayment from a covered person that exceeds the total charges submitted by the network pharmacy.
(4)
- (a) If the commissioner determines that a carrier has not complied with this section, the commissioner shall institute a corrective action plan for the carrier to follow or use any of the commissioner's enforcement powers under this title 10 to obtain the carrier's compliance with this section.
- (b) With regard to the requirements of this section applicable to PBMs, the commissioner has the authority to enforce this section and to impose a penalty or other remedy against a pharmacy benefit management firm that fails to comply with this section.
- (5) If any provision of this section is inconsistent with, or in conflict with, an applicable federal law, rule, or regulation, the applicable federal law, rule, or regulation applies.
- (6) The commissioner may adopt rules to implement and enforce this section.
Source: L. 2018: Entire section added, (HB 18-1284), ch. 181, p. 1233, § 1, effective August 8. L. 2019: (3)(a) amended, (HB 19-1172), ch. 136, p. 1655, § 48, effective October 1. L. 2023: (4) amended and (6) added, (HB 23-1227), ch. 160, p. 696, § 5, effective August 7.