Section 27-45A-5 – Powers of the Commissioner.
Section 27-45A-5 Powers of the commissioner. (a) The commissioner may adopt rules necessary to implement this chapter. (b) The powers and duties set forth in this chapter shall be in addition to all other authority of the commissioner. (c) The commissioner shall enforce compliance with the requirements of this chapter and rules adopted thereunder. (d)(1) […]
Section 27-45A-6 – Construction and Application of Chapter.
Section 27-45A-6 Construction and application of chapter. (a) Nothing in this chapter is intended or shall be construed to do any of the following: (1) Be in conflict with existing relevant federal law. (2) Apply to any specialty drug. (3) Impact the ability of a hospital to mandate its employees use of a hospital-owned pharmacy. […]
Section 27-45A-7
Section 27-45A-7 Reserved.
Section 27-45A-8 – Pharmacy Benefits Managers – Prohibited Activities Related to Covered Individuals.
Section 27-45A-8 Pharmacy benefits managers – Prohibited activities related to covered individuals. A pharmacy benefits manager may not do any of the following: (1) Require a covered individual, as a condition of payment or reimbursement, to purchase pharmacist services, including, but not limited to, prescription drugs, exclusively through a mail-order pharmacy or pharmacy benefits manager […]
Section 27-45A-9 – Annual Report.
Section 27-45A-9 Annual report. (a) For purposes of this section, client means a health insurer, payor, or health benefit plan. (b) If requested by a client under subsection (d), a pharmacy benefits manager shall prepare an annual report by June 1 which discloses all of the following with respect to that client: (1) The aggregate […]
Section 27-45A-10 – Pharmacy Benefits Managers – Prohibited Activities Related to Pharmacies or Pharmacists.
Section 27-45A-10 Pharmacy benefits managers – Prohibited activities related to pharmacies or pharmacists. A pharmacy benefits manager may not do any of the following: (1) Reimburse an in-network pharmacy or pharmacist in the state an amount less than the amount that the pharmacy benefits manager reimburses a similarly situated PBM affiliate for providing the same […]
Section 27-45A-11 – Pharmacy Benefits Managers – Material Misrepresentations.
Section 27-45A-11 Pharmacy benefits managers – Material misrepresentations. A pharmacy benefits manager may not knowingly make a material misrepresentation to a covered individual, pharmacist, or pharmacy. (Act 2021-341, §2.)
Section 27-45A-12 – Use of Pharmacy Benefits of a Covered Individual.
Section 27-45A-12 Use of pharmacy benefits of a covered individual. A pharmacist or pharmacy that participates in a health benefit plan’s pharmacy network shall process a prescription drug using the pharmacy benefits of the covered individual if failure to do so will result in a higher out-of-pocket cost to the covered individual. (Act 2021-341, §2.)
Section 27-46-1 – Reimbursement or Payment for Services.
Section 27-46-1 Reimbursement or payment for services. Notwithstanding any other provision of law, when any contract or plan of health insurance, or any plan or agreement for health care services provides for the reimbursement or payment for services which are within the scope of practice of registered nurses who have passed or who are qualified […]
Section 27-46-2 – Hospitals Not Prohibited From Prescribing Policies, Rules, Etc.
Section 27-46-2 Hospitals not prohibited from prescribing policies, rules, etc. Nothing in this chapter shall prohibit a licensed hospital from prescribing in its bylaws, policies, rules, or regulations, the qualifications, training, experience, scope of permissible activities, and level or degree of supervision required of any certified registered nurse anesthetist employed by or performing services in […]