Insurance Code section 10125.1

(a)

Every insurer issuing disability insurance that covers hospital, medical, or surgical expenses that offers coverage for a service that is within the scope of practice of a duly licensed pharmacist shall pay or reimburse the cost of the service performed by a pharmacist at an in-network pharmacy or a pharmacist at an out-of-network pharmacy if the insurer has an out-of-network pharmacy benefit.

(b)

Payment or reimbursement may be made pursuant to this section for a service performed by a duly licensed pharmacist only when all of the following conditions are met:

(1)

The service performed is within the lawful scope of practice of the pharmacist.

(2)

The coverage otherwise provides reimbursement for identical services performed by other licensed health care providers.

(c)

Nothing in this section shall require the insurer to pay a claim to more than one provider for duplicate service or be interpreted to limit physician reimbursement.

Source: Section 10125.1, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=INS§ionNum=10125.­1.­ (accessed May 10, 2025).

10110
 10110.1
 10110.2
 10110.3
 10110.4
 10110.5
 10110.6
 10110.7
 10110.8
 10110.75
 10111
 10111.2
 10111.5
 10111.7
 10112
 10112.1
 10112.2
 10112.3
 10112.4
 10112.5
 10112.6
 10112.7
 10112.8
 10112.9
 10112.25
 10112.26
 10112.27
 10112.28
 10112.29
 10112.35
 10112.75
 10112.81
 10112.82
 10112.95
 10112.281
 10112.282
 10112.291
 10112.295
 10112.296
 10112.297
 10112.300
 10113
 10113.1
 10113.2
 10113.3
 10113.4
 10113.5
 10113.6
 10113.7
 10113.8
 10113.9
 10113.35
 10113.70
 10113.71
 10113.72
 10113.95
 10114
 10115
 10116
 10116.5
 10117
 10117.5
 10117.52
 10118
 10119
 10119.1
 10119.2
 10119.3
 10119.5
 10119.6
 10119.7
 10119.8
 10119.9
 10120
 10120.2
 10120.3
 10120.4
 10120.5
 10120.35
 10120.41
 10120.42
 10121
 10121.5
 10121.6
 10121.7
 10122
 10122.1
 10122.2
 10123
 10123.1
 10123.2
 10123.3
 10123.4
 10123.5
 10123.6
 10123.7
 10123.8
 10123.9
 10123.10
 10123.11
 10123.12
 10123.13
 10123.14
 10123.15
 10123.16
 10123.17
 10123.18
 10123.19
 10123.20
 10123.21
 10123.22
 10123.31
 10123.35
 10123.36
 10123.38
 10123.51
 10123.55
 10123.61
 10123.65
 10123.67
 10123.68
 10123.81
 10123.82
 10123.83
 10123.84
 10123.85
 10123.86
 10123.87
 10123.88
 10123.89
 10123.91
 10123.131
 10123.132
 10123.135
 10123.137
 10123.141
 10123.145
 10123.147
 10123.184
 10123.185
 10123.191
 10123.192
 10123.193
 10123.194
 10123.195
 10123.196
 10123.197
 10123.198
 10123.199
 10123.201
 10123.202
 10123.203
 10123.204
 10123.205
 10123.206
 10123.207
 10123.208
 10123.209
 10123.210
 10123.211
 10123.835
 10123.855
 10123.856
 10123.857
 10123.864
 10123.865
 10123.866
 10123.867
 10123.868
 10123.869
 10123.1932
 10123.1933
 10123.1935
 10123.1945
 10123.1961
 10123.1991
 10124
 10124.7
 10125
 10125.1
 10126
 10126.5
 10126.6
 10126.61
 10126.65
 10126.66
 10127
 10127.1
 10127.2
 10127.3
 10127.4
 10127.5
 10127.7
 10127.8
 10127.9
 10127.09
 10127.10
 10127.11
 10127.12
 10127.13
 10127.14
 10127.15
 10127.16
 10127.17
 10127.18
 10127.19
 10127.20
 10127.21
Last Updated

May 10, 2025

§ 10125.1’s source at ca​.gov