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NEW CALIFORNIA LAW
FOCUSES ON
PHARMACIES
DISPENSING
PRESCRIPTION DRUGS
Hadley Weiler
Introduction
■ Based in Northern California, Hadley Weiler serves Colonial Supplemental Insurance as a
territory sales manager and provides solutions in areas such as health and life insurance.
Hadley Weiler has a strong focus on the latest health care laws, as he seeks to optimize
coverage for clients.
As reported by the California Medical Association, 2019 has already witnessed a flurry of
activity in the state legislature focused on health care. AB 315 focuses on pharmacy benefit
management and requires that pharmacies provide the customer with specific point of
sale information on covered prescription drugs.This applies in cases where a drug's retail
price is less than the drug’s applicable cost-sharing amount under insurance coverage. An
exception is when the pharmacy automatically offers the customer the lower retail price.
In addition, in cases where the customer pays the retail price, the pharmacy is required to
submit a claim to the insurer or plan, just as when the customer has purchased the drug at
the cost-sharing price through the network pharmacy.The focus is on ensuring that
pharmacy benefit managers act in ways that involve the exercise of fair dealing and good
faith when dispensing prescription drugs.

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New California Law Focuses on Pharmacies Dispensing Prescription Drugs

  • 1. NEW CALIFORNIA LAW FOCUSES ON PHARMACIES DISPENSING PRESCRIPTION DRUGS Hadley Weiler
  • 2. Introduction ■ Based in Northern California, Hadley Weiler serves Colonial Supplemental Insurance as a territory sales manager and provides solutions in areas such as health and life insurance. Hadley Weiler has a strong focus on the latest health care laws, as he seeks to optimize coverage for clients. As reported by the California Medical Association, 2019 has already witnessed a flurry of activity in the state legislature focused on health care. AB 315 focuses on pharmacy benefit management and requires that pharmacies provide the customer with specific point of sale information on covered prescription drugs.This applies in cases where a drug's retail price is less than the drug’s applicable cost-sharing amount under insurance coverage. An exception is when the pharmacy automatically offers the customer the lower retail price. In addition, in cases where the customer pays the retail price, the pharmacy is required to submit a claim to the insurer or plan, just as when the customer has purchased the drug at the cost-sharing price through the network pharmacy.The focus is on ensuring that pharmacy benefit managers act in ways that involve the exercise of fair dealing and good faith when dispensing prescription drugs.