Indiana Code 27-1-50-9. Option to calculate defined cost sharing at point of sale
Current as of: 2023 | Check for updates
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Terms Used In Indiana Code 27-1-50-9
- defined cost sharing: means a deductible payment or coinsurance amount imposed on a covered individual for a covered prescription drug under the covered individual's health insurance coverage. See Indiana Code 27-1-50-2
- insurer: means an insurer that provides health insurance coverage to a covered individual. See Indiana Code 27-1-50-4
- plan sponsor: means an employer or organization that offers health insurance coverage to its employees or members through an insurer. See Indiana Code 27-1-50-5
Sec. 9. At the time of contracting, an insurer shall provide plan sponsors the option of calculating defined cost sharing for covered individuals of the plan sponsor at the point of sale based on a price that is reduced by some or all of the rebates received or estimated to be received by the insurer concerning the dispensing or administration of the prescription drug.
As added by P.L.166-2023, SEC.3.