§ 20-3331 – Pharmacy benefit managers; requirements; applicability

20-3331. Pharmacy benefit managers; requirements; applicability A. A pharmacy benefit manager shall do all of the following: 1. Update the price and drug information for each list that the pharmacy benefit manager maintains every seven business days. 2. At the beginning of the term of a contract, on renewal of a contract and at least […]

§ 20-3332 – Prohibition against claim adjudication process fees; civil remedies

20-3332. Prohibition against claim adjudication process fees; civil remedies A. A pharmacy benefit manager may not directly or indirectly, on behalf of itself, a plan sponsor or an insurer, charge or hold a pharmacist or pharmacy responsible for a fee for any step of or component or mechanism related to the claims adjudication process, including: […]