Status: Enacted
Year Enacted: 2003
A health benefit plan that provides coverage for prescription drugs or devices and issues a card for claims processing and an administrator of any such plan, including, but not limited to, a pharmacy benefits manager […]
Status: Enacted
Year Enacted: 2011
(a) As used in this act, “pharmacy benefits manager” or “PBM” means a person, business or other entity that performs pharmacy benefits management. The term includes a person or entity acting for a PBM in […]
Status: Enacted
Year Enacted: 2013
A pharmacy benefit manager shall identify to contracted pharmacies the sources used by the pharmacy benefit manager to calculate the drug product reimbursement paid for covered drugs available under the pharmacy health benefit plan administered […]
Status: Enacted
Year Enacted: 2008
A pharmacy benefit manager shall be deemed to be a third-party administrator for purposes of this Part. No pharmacy benefit manager or other entity that administers prescription drug benefits in Louisiana shall prohibit, by contract, a […]
Status: Enacted
Year Enacted: 1997
Provides powers and duties of carriers relating to provider panels, regulations for evaluation of network sufficiency of health benefit plans, notification on access to information, arrier reimbursement of group practice at participating provider rate for […]
Md. Code, Ins. § 15-142. Step therapy or fail-first protocols: Health Insurance, General Provisions – Maryland
Status: Enacted
Year Enacted: 2014
An entity subject to this section may not impose a step therapy or fail-first protocol on an insured or an enrollee if the step therapy drug has not been approved by the U.S. Food and […]
Status: Enacted
Year Enacted: 1997
In accordance with regulations that the Commissioner adopts, the Commissioner shall allow health insurance policies and policies of nonprofit health service plans to contain nonduplication provisions or provisions to coordinate coverage with other health insurance […]
Status: Enacted
Year Enacted: 2008
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. Form of application and fee
Status: Enacted
Year Enacted: 2008
At the time of entering into a contract with a pharmacy or a pharmacist, and at least 30 working days before any contract change, a pharmacy benefits manager shall disclose to the pharmacy or pharmacist […]
Status: Enacted
Year Enacted: 2008
In any therapeutic interchange solicitation, the following shall be disclosed to the prescriber: that a therapeutic interchange is being solicited, the circumstances under which the originally prescribed drug will be covered by the purchaser, the […]
Status: Enacted
Year Enacted: 1994
Regulations governing health benefit plans providing pharmaceutical services benefits to any resident of Mississippi.
Miss. Code Ann. §§ 73-21-155 through 73-21-159 – Mississippi
Status: Enacted
Requires that a network pharmacy or pharmacist that has a contract with a pharmacy benefits manager to provide covered drugs at a negotiated reimbursement rate may decline to provide certain drugs or services if the […]
Status: Enacted
Year Enacted: 1985
Any person residing in the state of Missouri who is in need of genetic services and, as a person, can probably benefit from such services and who is otherwise financially unable to pay for such […]
Status: Enacted
Year Enacted: 2016
Definitions related to regulation of pharmacists in Missouri.
Mo. Rev. Stat. § 376.387 – Missouri
Status: Enacted
Makes it so no pharmacy benefits manager (PBM) shall include in a contract entered into or modified after August 28, 2018, with a pharmacist or pharmacy a provision requiring a covered person to make a […]
Status: Enacted
Year Enacted: 2016
Definitions related to PBMs, etc. in Missouri.
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