(a) In this subtitle the following words have the meanings indicated. (b) “Independent pharmacy” means a pharmacy operating within the State that is under common ownership with not more than two other pharmacies. (c) “Pharmacy benefits manager” has the meaning stated in § 15–1601 of this title. (d) “Pharmacy services administrative contract” means a contractual agreement between a pharmacy […]
(a) On or after July 1, 2021, a pharmacy services administrative organization shall register with the Commissioner as a pharmacy services administrative organization before providing services as a pharmacy services administrative organization in the State to independent pharmacies. (b) An applicant for registration shall: (1) file with the Commissioner an application on the form that the Commissioner provides; […]
(a) A pharmacy services administrative organization registration expires on the second September 30 after its effective date unless it is renewed as provided under this section. (b) A pharmacy services administrative organization may renew its registration for an additional 2–year term if the pharmacy services administrative organization: (1) otherwise is entitled to be registered; (2) files with the Commissioner […]
A pharmacy services administrative organization that has not registered with the Commissioner may not enter into an agreement or a contract with an independent pharmacy or a pharmacy benefits manager.
Subject to the applicable hearing provisions of Title 2 of this article, the Commissioner may deny a registration to a pharmacy services administrative organization or refuse to renew, suspend, or revoke the registration of a pharmacy services administrative organization if the pharmacy services administrative organization, or an officer, a director, or an employee of the […]
A pharmacy services administrative organization shall maintain adequate books and records regarding each independent pharmacy for which the pharmacy services administrative organization provides services as a pharmacy services administrative organization: (1) in accordance with prudent standards of record keeping; (2) for the duration of the agreement between the pharmacy services administrative organization and the independent pharmacy; and […]
(a) Whenever the Commissioner considers it advisable, the Commissioner may examine the affairs, transactions, accounts, and records of a registered pharmacy services administrative organization. (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 Commissioner may adopt regulations to implement this subtitle.
This subtitle may not be construed to diminish the authority of the Office of the Attorney General or the Commissioner to obtain information relating to a pharmacy services administrative organization and use the information in any proceeding.
(a) A pharmacy services administrative contract or an amendment to a pharmacy services administrative contract or a contract or an amendment to a contract between a pharmacy services administrative organization, on behalf of an independent pharmacy, and a pharmacy benefits manager or group purchasing organization may not become effective unless: (1) at least 60 days before the […]
(a) A pharmacy services administrative contract shall include a provision that requires the pharmacy services administrative organization to provide to the independent pharmacy a copy of any contracts, amendments, payment schedules, or reimbursement rates within 5 working days after the execution of a contract, or an amendment to a contract, signed on behalf of the independent […]
(a) Each pharmacy services administrative organization shall disclose to the Commissioner the extent of any ownership or control of the pharmacy services administrative organization by any parent company, subsidiary, or other organization that: (1) provides pharmacy services; (2) provides prescription drug or device services; or (3) manufactures, sells, or distributes prescription drugs, biologics, or medical devices. (b) Each pharmacy services […]
(a) Before entering into a pharmacy services administrative contract, a pharmacy services administrative organization shall provide to an independent pharmacy a written disclosure of ownership or control. (b) The disclosure required under subsection (a) of this section shall include the extent of any ownership or control by any parent company, subsidiary, or other organization that: (1) provides pharmacy […]
(a) Before entering into a contract with a purchaser or pharmacy benefits manager, a pharmacy services administrative organization shall provide to the purchaser or pharmacy benefits manager a written disclosure of ownership or control. (b) The disclosure required under subsection (a) of this section shall include the extent of any ownership or control by any parent company, […]
A pharmacy services administrative contract shall: (1) require all remittances for claims submitted by a pharmacy benefits manager or purchaser on behalf of an independent pharmacy to be passed by the pharmacy services administrative organization to the independent pharmacy within a reasonable amount of time; and (2) specify the reasonable amount of time in which the pharmacy […]
(a) A pharmacy services administrative organization that owns or is owned by, in whole or in part, an entity that manufactures, sells, or distributes prescription drugs, biologics, or medical devices may not require, as a condition of entering into a pharmacy services administrative contract, that an independent pharmacy purchase any drugs, biologics, or medical devices from […]
(a) All disclosures made under this subtitle shall comply with the privacy standards established in federal and State law. (b) A contract or amendment to a contract submitted to the Commissioner as required by this subtitle: (1) is considered to be confidential and proprietary information; and (2) is not subject to disclosure under the Public Information Act.
A pharmacy services administrative organization shall establish appropriate policies and procedures to implement the requirements of this subtitle.
(a) A pharmacy services administrative organization may not: (1) misrepresent pertinent facts or policy provisions that relate to an issue in a dispute or an appeal of a decision regarding a dispute; (2) refuse to pay or reimburse an independent pharmacy for an arbitrary or capricious reason based on all available information; (3) fail to settle a dispute promptly […]
