§ 26-4-140. Short Title
This article shall be known and may be cited as the “Third-party Prescription Program Law of 1983.” History. Code 1981, § 26-4-140 , enacted by Ga. L. 1998, p. 686, § 1.
§ 26-4-141. Legislative Findings
The General Assembly finds that certain practices are unfair to providers of pharmaceuticals, are burdensome and costly to those providers, result in unfair increased costs to certain consumers, and threaten the availability of pharmaceuticals to the public. The General Assembly further finds that there is a need for regulation of certain practices engaged in by […]
§ 26-4-142. Definitions
As used in this article, the term: “Administrator” means that person, corporation, or business entity which administers a program, is legally liable for any payments to a participating pharmacy under a program, or both. “Commissioner” means the Commissioner of Insurance. “Contract” means a program contract. “Enrollee” means a consumer who receives pharmaceuticals under a program. […]
§ 26-4-143. Approval of Program by Commissioner; Exemptions
Unless the program is exempt under subsection (b) of this Code section, no administrator, person, corporation, or business entity shall offer, operate, or administer a program in this state unless that program has been submitted to the Commissioner, in a manner provided by the Commissioner, and is approved by the Commissioner as complying with the […]
§ 26-4-144. Participating Pharmacies; Claim Reimbursements; Cancellation of Contracts
A program offered in this state and not exempt under subsection (b) of Code Section 26-4-143 shall provide all of the following: A statement of the method, frequency, and amount of claim reimbursement to participating pharmacies; That any valid claim for pharmaceuticals under this program will be paid to a participating pharmacy within 30 days […]
§ 26-4-145. Excessive Charges to Enrollees Prohibited
A participating pharmacy shall not submit claims for payment for pharmaceuticals under a program for charges in excess of those charged by that pharmacy to consumers, other than enrollees, for the same or similar pharmaceuticals. History. Code 1981, § 26-4-145 , enacted by Ga. L. 1998, p. 686, § 1.
§ 26-4-146. Administrator; Registration; Bond
On and after January 1, 1984, no person, corporation, or business entity shall serve as administrator of a program which has no administrator registered under this Code section unless that person, corporation, or business entity is registered as administrator of that program with the Commissioner. No administrator may be registered unless the administrator gives bond […]
§ 26-4-147. Liability of Enrollees
No enrollee may utilize a program identification card to obtain pharmaceuticals after the program has been canceled and after the enrollee has received notification of the cancellation, and if such card is so utilized, that enrollee shall be liable to the administrator of that program for the cost of those pharmaceuticals. History. Code 1981, § […]
§ 26-4-148. Violations of Article; Penalties
Any person, corporation, or business entity which violates subsection (a) of Code Section 26-4-146 shall be guilty of a misdemeanor. Any person, corporation, or business entity which violates any provision of this article shall be subject to a civil penalty in the amount of $1,000.00 for each act in violation of this article or, if […]