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Ch. 342 2005 LAWS OF MARYLAND
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SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article—Insurance
15-805.
(a) (1) In this section the following words have the meanings indicated.
(2) "Authorized prescriber" means a licensed dentist, licensed physician,
or licenced podiatrist who is authorized under the Health Occupations Article to
prescribe a pharmaceutical product.
(3) "Pharmaceutical product" means a drug or medicine that may be
prescribed by an authorized prescriber.
(b) This section does not apply to a policy or contract that is issued to an
employer under a collective bargaining agreement.
(c) (1) This subsection applies to each policy or contract that is issued or
delivered in the State to an employer or individual by an insurer or nonprofit health
service plan and that provides group or individual hospital, medical, or surgical
benefits.
(2) A policy or contract subject to this subsection that provides
reimbursement for a pharmaceutical product prescribed by an authorized prescriber
may not establish the amount of reimbursement to the insured or the insured's
beneficiary, including copayments and deductibles, based on the identity, practicing
specialty, or occupation of the authorized prescriber.
[(d) (1) This subsection applies to each individual or group policy or contract
that is issued or delivered in the State to an employer or individual by an insurer or
nonprofit health service plan and that provides benefits for pharmaceutical products.
(2) A policy or contract subject to this subsection may not impose a
copayment, deductible, or other condition on an insured or certificate holder who uses
the services of a community pharmacy that is not imposed when the insured or
certificate holder uses the services of a mail order pharmacy, if the benefits are
provided under the same program, policy, or contract.]
15-824.
(a) (1) In this section the following words have the meanings indicated.
(2) "Authorized prescriber" has the meaning stated in § 12-101 of the
Health Occupations Article.
(3) "Maintenance drug" means a drug anticipated to be required for 6
months or more to treat a chronic condition.
(b) This section applies to:
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