§40:2870. Prohibited acts; unfair and deceptive trade practices
RS 40:2870 – Prohibited acts; unfair and deceptive trade practices A. A pharmacy benefit manager in Louisiana shall not: (1) Commit any unfair and deceptive trade practice prohibited by R.S. 22:1964(15). (2) Perform any act that violates the duties, obligations, and responsibilities imposed under the Louisiana Insurance Code on a pharmacy benefit manager. (3) Buy, […]
§40:2871. Enforcement
RS 40:2871 – Enforcement A. Notwithstanding any provision of law to the contrary, enforcement of the Pharmacy Benefit Manager Licensing Law shall be conducted in accordance with the following requirements: (1)(a) The commissioner of insurance shall be responsible for investigation and enforcement of the provisions of the Louisiana Insurance Code, the applicable provisions of this […]
§40:2862. Short title
RS 40:2862 – Short title This Chapter shall be known and may be cited as the “Pharmacy Benefit Manager Licensing Law”. Acts 2019, No. 124, §3, eff. July 1, 2020.
§40:2863. Definitions
RS 40:2863 – Definitions As used in this Chapter, the following definitions shall apply: (1) “Attorney general” means the Louisiana attorney general. (2) “Beneficiary” means a person who resides or is employed in this state and is covered or is eligible to be covered by a health plan. (3) “Board of Pharmacy” means the Louisiana […]
§40:2864. Duties of pharmacy benefit managers
RS 40:2864 – Duties of pharmacy benefit managers A. A pharmacy benefit manager shall owe the beneficiaries of any pharmacy benefit management plan administered by the pharmacy benefit manager and to the entities that have entered into a contract with the pharmacy benefit manager the duties of good faith, honesty, trust, confidence, and candor. B. […]
§40:2865. General licensing and permitting requirements
RS 40:2865 – General licensing and permitting requirements A. Every pharmacy benefit manager that does business in this state or pays for benefits for a beneficiary through a pharmacy benefit management plan shall be licensed or permitted as required by this Chapter. B. No license or permit shall be issued to a pharmacy benefit manager […]
§40:2866. General applicability
RS 40:2866 – General applicability A. The licensure and regulation requirements set forth pursuant to this Chapter shall apply generally to any pharmacy benefit manager regardless of plan or benefit financing. B. Nothing in this Chapter shall be construed to require coverage of any specific drug in any health plan, but shall apply once a […]
§40:2867. Pharmacy benefit manager; regulation by commissioner of insurance; applicability of the Louisiana Insurance Code
RS 40:2867 – Pharmacy benefit manager; regulation by commissioner of insurance; applicability of the Louisiana Insurance Code A. Every pharmacy benefit manager that does business in this state shall be licensed as required by the Louisiana Insurance Code. B. Every pharmacy benefit manager licensed by the commissioner of insurance shall abide by the provisions of […]
§40:2868. Pharmacy benefit manager; regulation by Louisiana Board of Pharmacy; requirements for permitting
RS 40:2868 – Pharmacy benefit manager; regulation by Louisiana Board of Pharmacy; requirements for permitting A. A pharmacy benefit manager shall obtain and maintain a permit from the Board of Pharmacy if the pharmacy benefit manager administers, develops, maintains, performs, or provides one or more of the following pharmacy services in this state or that […]
§40:2869. Pharmacy benefit manager monitoring advisory council; membership; functions
RS 40:2869 – Pharmacy benefit manager monitoring advisory council; membership; functions A. There is hereby created a pharmacy benefit manager monitoring advisory council, referred to hereafter in this Chapter as the “advisory council”, that shall consist of the following members, each of whom may appoint a designee: (1) The commissioner of the Department of Insurance. […]