Chapter 743A — Health Insurance: Reimbursement of Claims
ORS 743A.051 Services provided by pharmacist
Notwithstanding any provisions of a health benefit plan as defined in ORS 743B.005, whenever the plan provides for payment or reimbursement for a service that is within the lawful scope of practice of a pharmacist, the insurer:
May provide payment or reimbursement for the service when the service is provided by a pharmacist; and
Shall provide, in the same manner as would be provided for any other health care provider, payment or reimbursement for:
The prescription of emergency refills of insulin and associated insulin-related devices and supplies as described in ORS 689.696; and
The service provided by the pharmacist;
The prescription, dispensation and administration of preexposure and post-exposure prophylactic antiretroviral therapies pursuant to ORS 689.704 and any rules adopted by the State Board of Pharmacy under ORS 689.645 and 689.704; and
The service provided by the pharmacist; and
The prescription and dispensation of other prescription drugs by a licensed pharmacist if the State Board of Pharmacy or any state law authorizes the drug to be prescribed and dispensed by pharmacists licensed under ORS chapter 689; and
The service provided by the pharmacist.
This section is exempt from ORS 743A.001.
Note: The amendments to 743A.051 by section 8, chapter 17, Oregon Laws 2024, become operative June 30, 2026. See section 13, chapter 17, Oregon Laws 2024. The text that is operative until June 30, 2026, including amendments by section 7, chapter 17, Oregon Laws 2024, is set forth for the user’s convenience.
743A.051. (1) Notwithstanding any provisions of a health benefit plan as defined in ORS 743B.005, whenever the plan provides for payment or reimbursement for a service that is within the lawful scope of practice of a pharmacist, the insurer:
May provide payment or reimbursement for the service when the service is provided by a pharmacist; and
Shall provide, in the same manner as would be provided for any other health care provider, payment or reimbursement for:
The prescription of emergency refills of insulin and associated insulin-related devices and supplies as described in ORS 689.696; and
The service provided by the pharmacist;
The prescription, dispensation and administration of preexposure and post-exposure prophylactic antiretroviral therapies pursuant to ORS 689.704 and any rules adopted by the State Board of Pharmacy under ORS 689.645 and 689.704; and
The service provided by the pharmacist;
The testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the prescribing, dispensing and administering of treatment for SARS-CoV-2 pursuant to ORS 689.662; and
The service provided by the pharmacist; and
The prescription and dispensation of other prescription drugs by a licensed pharmacist if the State Board of Pharmacy or any state law authorizes the drug to be prescribed and dispensed by pharmacists licensed under ORS chapter 689; and
The service provided by the pharmacist.
This section is exempt from ORS 743A.001.
Note: 743A.051 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.
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2025 Oregon Revised Statutes — official online source
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2025 Oregon Revised Statutes — official online source