Connecticut General Statutes
Conn. Gen. Stat. § 17b-226a (2026)
Provider billing rates for goods and services
✓ current as of May 2026
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A pharmacy provider enrolled in any medical assistance program administered by the Department of Social Services, when billing the department for a good or service, shall bill the department the lowest amount accepted from any member of the general public who participates in the pharmacy provider's savings or discount program. For purposes of this section, “savings or discount program” means any program, club or buying group offered by a pharmacy provider to any member of the general public for the purpose of obtaining a lower charge for any good or service than the charge made to any member of the general public who does not participate in such program.
(P.A. 10-3, S. 24; 10-179, S. 17.)
History: P.A. 10-3 effective April 14, 2010; P.A. 10-179 changed “provider” to “pharmacy provider”, rephrased provision requiring that department is billed lowest accepted amount and defined “savings or discount program”, effective May 7, 2010.
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Notes of Decisions
Cited in 1
case, 2016–2016 · leading case: United States Ex Rel. Winkelman v. CVS Caremark Corp., 827 F.3d 201 (1st Cir. 2016).
United States Ex Rel. Winkelman v. CVS Caremark Corp., 827 F.3d 201 (1st Cir. 2016). “See Conn. Gen. Stat. § 17b-226a. So, too, those materials revealed Connecticut’s belief that the HSP prices should have been provided to the state’s Medicaid program even before the statutory change.”
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