Vt. Stat. Ann. tit. 18, § 9421. Pharmacy benefit management; registration; insurer audit of pharmacy benefit manager activities: Claims Processing and Contracting Standards – Vermont

Status: Enacted
Year Enacted: 2007
Year Amended: 2017
File: Download

In accordance with rules adopted by the Commissioner, pharmacy benefit managers operating in the State of Vermont and proposing to contract for the provision of pharmacy benefit management shall notify health insurers when the pharmacy benefit manager provides a quotation that a quotation for an administrative-services-only contract with full pass through of negotiated prices, rebates, and other such financial benefits that would identify to the health insurer external sources of revenue and profit is generally available and whether the pharmacy benefit manager offers that type of arrangement. Quotations for an administrative-services-only contract shall include a reasonable fee payable by the health insurer that represents a competitive pharmacy benefit profit.


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