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Minnesota News: Provider Cost Disclosure
Reprinted from the April 2009 Minnesota Board of Pharmacy Newsletter.
During the 2006 legislative session, health licensing boards were directed to remind licensees, at least annually, of the price disclosure requirements of section Minnesota Statutes 62J.052 or 151.214, as applicable. Pharmacists must abide by M.S. 151.214, which states:
Subdivision 1. Explanation of pharmacy benefits. A pharmacist licensed under this chapter must provide to a patient, for each prescription dispensed where part or all of the cost of the prescription is being paid or reimbursed by an employer-sponsored plan or health plan company, or its contracted pharmacy benefit manager, the patient’s co payment amount and the usual and customary price of the prescription or the amount the pharmacy will be paid for the prescription drug by the patient’s employer-sponsored plan or health plan company, or its contracted pharmacy benefit manager.
Subd. 2. No prohibition on disclosure. No contracting agreement between an employer-sponsored health plan or health plan company, or its contracted pharmacy benefit manager, and a resident or nonresident pharmacy registered under this chapter, may prohibit the pharmacy from disclosing to patients information a pharmacy is required or given the option to provide under subdivision 1.
