Md. Code Ann., Ins. § 15-842
Copayments or coinsurance for covered prescription drug or device
Effective May 8, 2020Added by Acts 2007, c. 638, § 1, eff. Oct. 1, 2007. Amended by Acts 2020, c. 628, § 1, eff. May 8, 2020.State of Maryland
(a)
(1) This section applies to:
- (i) insurers and nonprofit health service plans that provide coverage for prescription drugs and devices under health insurance policies or contracts that are issued or delivered in the State; and
- (ii) health maintenance organizations that provide coverage for prescription drugs and devices under contracts that are issued or delivered in the State.
- (2) An insurer, nonprofit health service plan, or health maintenance organization that provides coverage for prescription drugs and devices through a pharmacy benefits manager is subject to the requirements of this section.
- (b) An entity subject to this section may not impose a copayment or coinsurance requirement for a covered prescription drug or device that exceeds the retail price of the prescription drug or device.
Added by Acts 2007, c. 638, § 1, eff. Oct. 1, 2007. Amended by Acts 2020, c. 628, § 1, eff. May 8, 2020.