Reimbursement

Act 91 of 1971, § 515, under STATE LOTTERY LAW.

Act 91 of 1971, § 515

Section 515. Reimbursement.

For-profit third-party insurers, health maintenance organizations, preferred provider organizations, not-for-profit prescription plans, Medicare advantage plans and PDPs shall be responsible for any payments made to a providing pharmacy on behalf of a claimant covered by such a third party. Final determination as to the existence of third-party coverage shall be the responsibility of the department.

(515 amended July 7, 2006, P.L.1061, No.111)