LAC 48:I.13619. Reimbursement

A. All health coverage plans, third-party administrators, and pharmacy benefit managers operating within the state of Louisiana shall establish the process for pharmacists to enroll as providers for the purposes of dispensing and/or administering HIV PrEP and/or PEP, equivalent to the process established for other providers. B. A pharmacist authorized to provide any service relative to HIV PrEP and/or PEP shall be reimbursed at the same rate as any other participating healthcare provider providing such service in accordance with the patient's health coverage plan. C. This Section shall not be construed to require a health coverage plan or a third-party administrator or pharmacy benefit manager to reimburse a pharmacist or pharmacy as an in-network or preferred provider. D. The provisions of this Section may apply to coverage under a group or individual health coverage plan provided to a resident of this state regardless of whether the health coverage plan policy, contract, or other agreement is delivered, issued for delivery, or renewed in this state. E. No health coverage plan, third-party administrator, or pharmacy benefit manager operating within the state of Louisiana shall deny any pharmacy the opportunity to participate in the PrEP/PEP program offered in this state in any manner that will restrain the right of a consumer to select a pharmacy of their choosing. F. Manufacturer and government financial assistance programs for HIV PrEP and PEP exist for patients who are uninsured, underinsured, or who meet financial criteria.