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Third Party Prescription Program Act

Illinois · Insurance · §§ 215-5-512-1 to 215-5-512-9 · 11 sections

Overview

The act regulates third party prescription programs — arrangements under which an entity other than the patient pays for or reimburses the cost of prescription drugs and pharmacy services. Operators of such programs must register before doing business, are subject to examination, and must meet fiduciary and bonding requirements covering the funds they handle; failing to register carries its own consequences. It also governs the relationship between programs and participating pharmacies by regulating what the governing contracts must contain, requiring notice, prescribing how a contract may be cancelled, and setting limits on the denial of payment for services rendered.

Editorial summary generated from the text of this act. It is not part of the statute — read the sections below for the operative language.

Sections covered

Enacted in other states

Alabama, Maine, Tennessee

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