§ 33-64-9.1. Reimbursement Methodologies Utilized by Pharmacy Benefits Managers
Any methodologies utilized by a pharmacy benefits manager in connection with reimbursement pursuant to Code Section 33-64-9 shall be filed with the Commissioner for use in determining maximum allowable cost appeals; provided, however, that methodologies not otherwise subject to disclosure under Article 4 of Chapter 18 of Title 50 shall be treated as confidential and […]
§ 33-64-1. Definitions
As used in this chapter, the term: “Affiliate pharmacy” means a pharmacy which, either directly or indirectly through one or more intermediaries: Has an investment or ownership interest in a pharmacy benefits manager licensed under this chapter; Shares common ownership with a pharmacy benefits manager licensed under this chapter; or Has an investor or ownership […]
§ 33-64-2. License Requirements and Filing Fees
No person, business entity, or other entity shall act as or hold itself out to be a pharmacy benefits manager in this state, other than an applicant licensed in this state for the kinds of business for which it is acting as a pharmacy benefits manager, unless such person, business entity, or other entity holds […]
§ 33-64-3. Requirements and Procedures Affecting Pharmacy Benefits Managers; Surety Bond
Every applicant for a pharmacy benefits manager’s license shall file with the application and shall thereafter maintain in force a bond in the amount of $100,000.00 in favor of the Commissioner executed by a corporate surety insurer authorized to transact insurance in this state. The terms and type of the bond shall be established by […]