La. Rev. Stat. § 22:1857
Prescription drugs, products, and supplies; use of index
Louisiana · Louisiana Revised Statutes Title 22 — Insurance · Status: effective
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- Citation
- La. Rev. Stat. § 22:1857, Prescription drugs, products, and supplies; use of index, Louisiana, version 1 as recorded 2026-10-04, yourstate.us, https://yourstate.us/provision/2705543
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Full text
A. Reimbursement under a contract to a pharmacist or pharmacy for prescription drugs and other products and supplies that is calculated according to a formula that uses a nationally recognized reference in the pricing calculation shall use the most current nationally recognized reference price or amount in the actual or constructive possession of the health insurance issuer, its agent, or any other party responsible for reimbursement for prescription drugs and other products and supplies on the date of service shown on the claim.
B. Health insurance issuers, their agents, and other parties responsible for reimbursement for prescription drugs and other products and supplies shall be required to update the nationally recognized reference prices or amounts used for calculation of reimbursement for prescription drugs and other products and supplies no less than every three business days.
C. Any health insurance issuer, agent, or other party responsible for reimbursement for prescription drugs and other products and supplies that does not comply with the requirements of Subsection A or B of this Section shall be subject to the late payment adjustment provisions of R.S. 22:1854(C) to the extent of any amount not paid in accordance with the requirements of this Section.