DIR Fees Law – ALABAMA
ALABAMA SUMMARY OF EXISTING LAW
A health benefit plan that covers prescription drugs may not include a provision that requires an enrollee to make a payment for a prescription drug at the point of sale in an amount that exceeds the lesser of: the contracted co-payment amount or the amount an individual would pay for a prescription if that individual were paying without using a health benefit plan.
Link to Existing Law:
PRACTICAL NOTE
While this law does not apply directly to DIR fees it could prevent post-point-of-sale clawbacks when the patient’s copayment amount is greater than the amount the pharmacy stands to retain.
