§ 15–1636
Statutes in effect as of October 1, 2026.
Md. Code Ann., Ins. § 15-1636 (2026)
Title 15. Health Insurance
Subtitle 16. Pharmacy Benefits Managers
§ 15–1636LinkCopy Citation
(a)
A pharmacy benefits manager or its agent shall cancel and reverse a therapeutic interchange on written or verbal instructions from a prescriber, the beneficiary, or the beneficiary’s representative.
(b)
If a therapeutic interchange is reversed, the pharmacy benefits manager or its agent shall:
(1)
obtain a prescription for and dispense the originally prescribed prescription drug; and
(2)
charge the beneficiary no more than one copayment.
(c)
If the therapeutic interchange occurred through a mail order pharmacy and a beneficiary will exhaust an existing supply of the originally prescribed prescription drug before a replacement shipment will arrive to the beneficiary, the pharmacy benefits manager or its agent shall arrange for dispensing of an appropriate quantity of replacement prescription drugs at a local community pharmacy at no additional cost to the beneficiary.
(d)
A pharmacy benefits manager or its agent may not be required to cancel and reverse a therapeutic interchange if a beneficiary is unwilling to pay a higher copayment or coinsurance associated with the originally prescribed prescription drug.