Section 15-1611 – Information on and Sales of Prescription Drugs
(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier. (b) A pharmacy benefits manager may not prohibit a pharmacy or pharmacist from: (1) providing a beneficiary with information regarding the retail price for a prescription drug or the amount of the cost share for which the […]
Section 15-1611.1 – Choice of Pharmacy by Beneficiary to Fill Prescription
(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier. (b) Except as provided in subsection (c) of this section, a pharmacy benefits manager may not require that a beneficiary use a specific pharmacy or entity to fill a prescription if: (1) the pharmacy benefits manager or […]
Section 15-1612 – Reimbursement for Pharmaceutical Product or Pharmacist Service
(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier. (b) This section does not apply to reimbursement: (1) for specialty drugs; (2) for mail order drugs; or (3) to a chain pharmacy with more than 15 stores or a pharmacist who is an employee of the chain pharmacy. […]
Section 15-1604 – Registration
(a) A pharmacy benefits manager shall register with the Commissioner as a pharmacy benefits manager before providing pharmacy benefits management services in the State to purchasers. (b) An applicant for registration shall: (1) file with the Commissioner an application on the form that the Commissioner provides; and (2) pay to the Commissioner a registration fee set by the Commissioner. […]
Section 15-1605 – Expiration; Renewal
(a) A pharmacy benefits manager registration expires on the second September 30 after its effective date unless it is renewed as provided under this section. (b) A pharmacy benefits manager may renew its registration for an additional 2–year term, if the pharmacy benefits manager: (1) otherwise is entitled to be registered; (2) files with the Commissioner a renewal application […]
Section 15-1606 – Agreements With Unregistered Pharmacy Benefits Managers Prohibited
A carrier may not enter into an agreement with a pharmacy benefits manager that has not registered with the Commissioner.
Section 15-1607 – Denials, Suspensions, Revocations, and Refusals to Renew
(a) Subject to the applicable hearing provisions of Title 2 of this article, the Commissioner may deny a registration to a pharmacy benefits manager applicant or refuse to renew, suspend, or revoke the registration of a pharmacy benefits manager if the pharmacy benefits manager, or an officer, director, or employee of the pharmacy benefits manager: (1) makes […]
Section 15-1608 – Books and Records
A pharmacy benefits manager shall maintain adequate books and records about each purchaser for which the pharmacy benefits manager provides pharmacy benefits management services: (1) in accordance with prudent standards of record keeping; (2) for the duration of the agreement between the pharmacy benefits manager and the purchaser; and (3) for 3 years after the pharmacy benefits manager […]
Section 15-1609 – Examinations
(a) Whenever the Commissioner considers it advisable, the Commissioner may examine the affairs, transactions, accounts, and records of a registered pharmacy benefits manager. (b) The examination shall be conducted in accordance with § 2–207 of this article. (c) The expense of the examination shall be paid in accordance with § 2–208 of this article. (d) The reports of the […]
Section 15-1610 – Delivery Through Nonresident Pharmacies
A pharmacy benefits manager may not ship, mail, or deliver prescription drugs or devices to a person in the State through a nonresident pharmacy unless the nonresident pharmacy holds a permit issued in accordance with the provisions of § 12–403 of the Health Occupations Article.