44-1751. Definitions In this article, unless the context otherwise requires: 1. " Cost share" means an insured’s applicable coinsurance, copayment and deductible requirement under a health plan based on the adjudicated claim. 2. " Pharmacy benefit manager" has the same meaning prescribed in section 20-3321. 3. " Plan sponsor" means an employer or organization that […]
44-1752. Pharmacy benefits managers; prohibitions; applicability A. A pharmacy benefits manager may not do any of the following: 1. Prohibit a pharmacist or pharmacy from providing an insured individual information on the amount of the insured’s cost share for the insured’s prescription drug and the clinical efficacy of a more affordable alternative drug if one […]
44-1753. Prescription medications; ninety-day fill; exceptions A. A plan sponsor or pharmacy benefit manager may not prohibit a retail pharmacy in its network from dispensing a ninety-day fill of a prescription medication pursuant to Arizona state board of pharmacy rules and guidance if either: 1. A ninety-day fill of that medication is allowed by the […]
44-1754. Delivery of prescription drugs; disclosure; exception A. A plan sponsor or pharmacy benefit manager may not prohibit a retail pharmacy from offering as an ancillary service of a pharmacy within the terms of the contract either of the following: 1. The limited delivery of prescription drugs by mail or common carrier to a patient. […]
