; and (iii) such participant, beneficiary, or enrollee, with a clear and understandable explanation of such inability and of the option of such participant, beneficiary, or enrollee to be dispensed such oral medication from any provider or pharmacy described in subparagraph (C) of paragraph (3), in accordance with the requirements described in subparagraphs (A) and (B) of such paragraph. (D) Pharmacy failure to communicate If the pharmacy does not communicate its ability to dispense as required by subparagraph (A), or, after confirming that it will dispense an oral medication under such subparagraph, does not actually dispense such medication by the 72-hour deadline described in such paragraph, such pharmacy shall be deemed to have confirmed that it is not able to dispense such medication under subparagraph (C). (3) Requirements for group health plans and health insurance issuers (A) Patient selection of alternate provider or pharmacy If a group health plan or a health insurance issuer offering group or individual health insurance coverage (or its agent, including a pharmacy benefits manager) described in paragraph (1) enters into a contract described in such paragraph, with a pharmacy and such pharmacy, with respect to a participant, beneficiary, or enrollee of the plan or coverage and a health care provider who submits to such pharmacy a prescription for an oral medication for such participant, beneficiary, or enrollee, informs such health care provider under subparagraph (A)(ii) of such paragraph that such pharmacy will not dispense such oral medication to such participant, beneficiary, or enrollee by the 72-hour deadline described in such subparagraph (or in the case that the participant, beneficiary, or enrollee has not received the oral medication by the 72-hour deadline), the plan or issuer— (i) shall authorize such participant, beneficiary, or enrollee to select any provider or pharmacy described in subparagraph (C) to dispense such oral medication to such participant, beneficiary, or enrollee based on