| (a) An HMO may not require any pharmacy or pharmacist
participating or applying to participate as a contracted provider
in an HMO delivery network to:
(1) provide financial statements to the HMO; or
(2) deposit with the HMO any monies or other form of
consideration, except for reasonable application and recertification
fees.
(b) An HMO or a pharmacy benefit manager may not directly
or indirectly charge or hold a pharmacist or pharmacy responsible
for a fee for any step of, or component or mechanism related to, the
claim adjudication process in violation of Insurance Code §1369.402
(concerning Certain Fees Prohibited).
|
