Act 207 of 2012
Access to Community Pharmacy Services
The intent of Act 207 is to give more patients the freedom of choice to access their local community pharmacies if they so choose. However, the act is only applicable if the retail pharmacy is willing to accept the same pricing, terms, conditions or requirements related to the cost and quality of prescriptions established for a mail order pharmacy and a pharmacy benefit manager affiliated with a mail order pharmacy. The act does not eliminate insurance plans from continuing to offer mail order as an option. Act 207 took effect March 1, 2013.
Legislative Budget and Finance Committee Report
On April 15, 2015, the Legislative Budget and Finance Committee released a report on the impact of Act 207 of 2012 on access to retail pharmacies and cost of prescription medications. To read the full report, report highlights and/or a presentation of the report to the committee, please click here.
Act 207 Resources
PPA Letter to Members regarding Act 207 Compliance
Online form to submit plan information
Paper version of the form to fax to PPA
Patient Bag Stuffers
Pharmacist Letter to Plans including NCPA Mail-Order Cost Study as an attachment
Act 207 FAQs and detailed analysis and response to FAQs from Attorney Ray Pepe, KL Gates
File a complaint - Issues of non-compliance with Act 207 may be reported to the Pennsylvania Insurance Department. Complaints may be filed electronically, or by mail/fax after downloading and completing a complaint form. In either instance, complaints should be specific, fact based and supported with objective documentation, when possible. Additionally, complaints also may be reported to the Attorney General's Office.
For any questions regarding Act 207, please contact Jeff Stuby. Additional resources about mail order are available by clicking here.