Section 509. Program generally.
The program shall include the following:
(1) Participating pharmacies shall be paid within 21 days of the contracting firm receiving the appropriate substantiation of the transaction. Pharmacies shall be entitled to interest for payment not made within the 21-day period at a rate approved by the board.
(2) Collection of the copayment by pharmacies shall be mandatory.
(3) Claimants are not required to maintain records of each transaction.
(4) A system of rebates or reimbursements to claimants for pharmaceutical expenses shall be prohibited.
(5) PACE shall include participant copayment schedules for each prescription, including a copayment for generic or multiple-source drugs that is less than the copayment for single-source drugs. The department shall annually calculate the copayment schedules based on the Prescription Drugs and Medical Supplies Consumer Price Index. When the aggregate impact of the Prescription Drugs and Medical Supplies Consumer Price Index equals or exceeds $1, the department shall adjust the copayment schedules. Each copayment schedule shall not be increased by more than $1 in a calendar year.
(6) ((6) repealed Nov. 21, 2016, P.L.1318, No.169)
(7) In no case shall the Commonwealth or any claimant be charged more than the price of the drug at the particular pharmacy on the date of the sale.
(8) The Governor may, based upon certified State Lottery Fund revenue that is provided to both the chairman and minority chairman of the Appropriations Committee of the Senate and the chairman and minority chairman of the Appropriations Committee of the House of Representatives, and after consultation with the board, decrease the eligibility limits established in this subchapter.
(509 amended July 7, 2006, P.L.1061, No.111)