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(215 ILCS 125/2-3.1)
(from Ch. 111 1/2, par. 1405.1)
(a) No health maintenance organization shall cause to be
dispensed any drug other than that prescribed by a physician. Nothing
herein shall prohibit drug product selection under Section 3.14 of the
"Illinois Food, Drug
and Cosmetic Act", approved June 29, 1967, as amended, and in accordance
with the requirements of Section 25 of the "Pharmacy Practice Act",
approved September 24, 1987, as amended.
(b) No health maintenance organization shall include in any contract
with any physician providing for health care services any provision
requiring such physician to prescribe any particular drug product to any
enrollee unless the enrollee is a hospital in-patient where such drug product
may be permitted pursuant
to written guidelines or procedures previously established by a
pharmaceutical or therapeutics committee of a hospital, approved by the
medical staff of such hospital and specifically approved, in writing, by
the prescribing physician for his or her patients in such hospital, and
unless it is compounded, dispensed or sold by a
pharmacy located in a hospital, as defined in Section 3 of the Hospital
Licensing Act or a hospital organized under "An Act in relation to the
founding and operation of the University of Illinois Hospital and the
conduct of University of Illinois health care programs", approved July 3,
1931, as amended.
(Source: P.A. 95-689, eff. 10-29-07.)