; and (ii) in the case that the provider or pharmacy selected under clause (i) does not have a contract with such plan or issuer to dispense such oral medication to such participant, group health plan or a health insurance issuer offering group or individual health insurance coverage described in paragraph (1) shall cover the medication and pay the provider or pharmacy in accordance with the provisions of subparagraph (B). (B) Coverage requirements for prescriptions dispensed by alternate provider or pharmacy For prescriptions dispensed by an alternate provider or pharmacy in accordance with subparagraph (A) that does not have a contract with 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) to dispense such oral medication to such participant, such group health plan or a health insurance issuer (or its agent, including a pharmacy benefits manager) shall cover the medication and pay the provider or pharmacy subject to the following requirements— (i) such medication will be provided without imposing any requirement under the plan for prior authorization of the medication or any limitation on coverage that is more restrictive than the requirements or limitations that apply to oral medications received from participating providers and pharmacies with respect to such plan; (ii) the cost-sharing requirement (expressed as a copayment amount or coinsurance rate) is not greater than the requirement that would apply if such services were provided by a participating provider or a participating pharmacy; (iii) such cost-sharing requirement is calculated as if the total amount that would have been charged for such services by such participating provider or participating pharmacy were equal to the recognized amount (as determined by the Secretary) for such oral medications, plan, and year