; and (iii) is able to dispense (and if applicable, deliver), such oral medication to such participant, beneficiary, or enrollee within 48 hours of the date on which it receives the prescription. For purposes of this section, a provider or pharmacy described in this subparagraph includes a physician or other health care practitioner authorized to dispense oral medication to such participant, beneficiary, or enrollee pursuant to the law of the State in which the physician or other health care practitioner is located. (D) Prior authorization requirements In the case of a group health plan or a health insurance issuer offering group or individual health insurance coverage that requires prior authorization for an oral medication to be dispensed to a participant, beneficiary, or enrollee of the plan or coverage, such plan or issuer (or its agent, including a pharmacy benefits manager) shall make a decision with respect to a request for such a prior authorization by not later than 72 hours after receiving such request. In the case that such plan or issuer (or its agent, including a pharmacy benefits manager) does not make a decision with respect to a request for prior authorization for an oral medication to be dispensed to a participant, beneficiary, or enrollee of the plan or coverage by the 72-hour deadline described in the previous sentence, such participant, beneficiary or enrollee may select any pharmacy described in subparagraph (C) to dispense such oral medication to such participant, beneficiary, or enrollee, in accordance with the cost-sharing requirements described in subparagraph (B). (E) Use of relevant quality measures under incentive payment and adjustment systems If a group health plan or a health insurance issuer offering group or individual health insurance coverage uses an incentive payment and adjustment system (as defined by the Secretary) in determining pharmacy reimbursement payments for oral medications, such system shall only use quality measures that are relevant to the performance of such