Edition 2021 Other editions
Current Version 2025 2023 2021 2019 1978 Scanned 1979 Scanned 1981 Scanned 1983 Scanned 1985 Scanned 1986 Scanned 1987 Scanned 1989 Scanned
1995 forward is searchable text. Earlier volumes are page scans.
33-22-101 33-22-102 33-22-107 33-22-109 33-22-110 33-22-111 33-22-112 33-22-113 33-22-114 33-22-115 33-22-116 33-22-117 33-22-121 33-22-122 33-22-123 33-22-125 33-22-128 33-22-129 33-22-130 33-22-131 33-22-132 33-22-133 33-22-134 33-22-135 33-22-136 33-22-137 33-22-138 33-22-139 33-22-140 33-22-141 33-22-142 33-22-143 33-22-150 33-22-151 33-22-152 33-22-153 33-22-156 33-22-157 33-22-158 33-22-159 33-22-170 33-22-171 33-22-172 33-22-173 33-22-174 33-22-175 33-22-176 33-22-177 33-22-180

Mont. Code Ann. § 33-22-175

(2021)

Allowable and prohibited fees on pharmacies

(1) A pharmacy benefit manager or third-party payer may not directly or indirectly charge or hold a pharmacy responsible for a fee related to a claim:

(a) if the fee is not apparent at the time the claim is processed;

(b) if the fee is not reported on the remittance advice of an adjudicated claim; or

(c) after the initial claim is adjudicated.

(2) A pharmacy benefit manager or third-party payer may collect a performance-based fee from a pharmacy only if the pharmacy fails to meet the criteria established by a pharmacy performance measurement entity. The fee may be applied only to the professional dispensing fee outlined in the contract with the pharmacy and may not be imposed on the cost of goods sold by a pharmacy.

(3) Only criteria established by a pharmacy performance measurement entity may be used to measure a pharmacy's performance for the purposes of this section.

Official Annotations archive.org, 2021 edition
History:
En. Sec. 1, Ch. 88, L. 2019 (SB 83 - Fitzpatrick, Steve (R) SD 10)