Can a health care plan require members to only use one pharmacy?
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Can a health care plan require members to only use one pharmacy?
Asked on January 15, 2016 under Insurance Law, Florida
Answers:
SJZ, Member, New York Bar / FreeAdvice Contributing Attorney
Answered 8 years ago | Contributor
Yes. Health plans may limit or restrict the doctors, hospitals, pharmacies, etc. that members use--this is legal, so long as the terms of the plan give them the right to do this. (The plan is a contract; they can do whatever it says they can, but can't add restrictions not supported by the contract.)
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