§ 73-21-191. Penalty for noncompliance with Sections 73-21-175 through 73-21-189
The State Board of Pharmacy may impose a monetary penalty on pharmacy benefit managers for noncompliance with the provisions of the Pharmacy Audit Integrity Act, Sections 73-21-175 through 73-21-189, in amounts of not less than One Thousand Dollars ($1,000.00) per violation and not more than Twenty-five Thousand Dollars ($25,000.00) per violation.The board shall prepare a […]
§ 73-21-201. Short title
Sections 73-21-201 through 73-21-205 shall be known as the “Prescription Drugs Consumer Affordable Alternative Payment Options Act.”
§ 73-21-203. Definitions
For the purposesof Sections 73-21-201 through 73-21-205: “Board”shall have the same definition as provided in Section 73-21-73. “Pharmacist,””pharmacist services” and “pharmacy” or”pharmacies” shall have the same definitions as providedin Section 73-21-73. “Pharmacybenefit manager” shall have the same definition as providedin Section 73-21-179.
§ 73-21-205. Pharmacists authorized to provide additional information to patients to allow them to consider affordable alternative payment options when acquiring prescription medication; provisions of contracts or agreements contrary to Sections 73-21-201 through 73-21-205 are void; compliance with this section does not constitute violation of contract or agreement to which pharmacist is party; protection for pharmacists acting or failing to act under this section
Pharmacists mayprovide additional information to a patient to allow them an opportunityto consider affordable alternative payment options when acquiringtheir prescription medication. Any provisionof any contract or agreement contrary to the provisions of Sections 73-21-201 through 73-21-205 shall be consideredin violation of public policy and shall be void. Compliance withthis section shall not constitute a violation […]
§ 73-21-157. License required to do business as pharmacy benefit manager; pharmacy benefit managers to file certain financial statements with State Board of Pharmacy; time period for filing statements
Before beginning to do business as a pharmacy benefit manager, a pharmacy benefit manager shall obtain a license to do business from the board. To obtain a license, the applicant shall submit an application to the board on a form to be prescribed by the board. Each pharmacy benefit manager providing pharmacy management benefit plans […]
§ 73-21-159. Financial examination of pharmacy benefit manager
In lieu of or in addition to making its own financial examination of a pharmacy benefit manager, the board may accept the report of a financial examination of other persons responsible for the pharmacy benefit manager under the laws of another state certified by the applicable official of such other state. The board shall coordinate […]
§ 73-21-175. Short title
Sections 73-21-175 through 73-21-189 shall be known as “The Pharmacy Audit Integrity Act.”
§ 73-21-177. Purpose
The purpose of Sections 73-21-175 through 73-21-189 is to establish minimum and uniform standards and criteria for the audit of pharmacy records by or on behalf of certain entities.
§ 73-21-179. Definitions
For purposes of Sections 73-21-175 through 73-21-189: “Entity” means a pharmacy benefit manager, a managed care company, a health plan sponsor, an insurance company, a third-party payor, or any company, group or agent that represents or is engaged by those entities. “Health insurance plan” means benefits consisting of prescription drugs, other products and supplies, and […]
§ 73-21-181. Application
Sections 73-21-175 through 73-21-189 shall apply to any audit of the records of a pharmacy conducted by a managed care company, nonprofit hospital or medical service organization, insurance company, third-party payor, pharmacy benefit manager, a health program administered by a department of the state or any entity that represents those companies, groups, or department.