Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 5598 (August 31, 2024).

34 Pa. Code § 127.135. Payments for prescription drugs and pharmaceuticals—drugs dispensed at a physician’s office.

§ 127.135. Payments for prescription drugs and pharmaceuticals—drugs dispensed at a physician’s office.

 (a)  When a prescription is filled at a physician’s office, payment for the prescription drug shall be limited to 110% of the average wholesale price of the product.

 (b)  Physicians may not bill, or otherwise hold the employe liable, for the difference between the actual charge for the prescription drug and 110% of the AWP of the product.



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