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.
Ala. Code § 34-23-115
Reimbursement Rates.
Known as the Third Party Prescription Program Act
The act spans §§ 34-23-110 to 34-23-118 (9 sections).
Applied in 2 court decisions — leading case Blue Cross v. Peacock's Apothecary, Inc. (1983)
Most recently applied in United States ex rel. Garbe v. Kmart Corp. (January 2015)
(Acts 1981, No. 81-337, p. 477, §6.)
Official source: Alabama Legislature (ALISON). Reproduced from public-domain Alabama statutes; confirm against the official source for the current text. Not legal advice.