Utah Code § 31A-22-640. Insurer and pharmacy benefit management services–Registration–Maximum allowable cost–Audit restrictions: Accident and Health Insurance – Utah

Status: Enacted
Year Enacted: 2012
Year Amended: 2015
File: Download

A pharmacy benefit manager shall not use maximum allowable cost as a basis for reimbursement to a pharmacy unless the drug is listed as “A” or “B” rated in the most recent version of the Orange Book and the drug is generally available for purchase in this state from a national or regional wholesaler; and not obsolete.

Return to Database Search

© 2018- The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Associated Litigation:

No items found