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Statutes Text

Article - Insurance




§15–1611.1.

    (a)    This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier.

    (b)    Except as provided in subsection (c) of this section, a pharmacy benefits manager may not require that a beneficiary use a specific pharmacy or entity to fill a prescription if:

        (1)    the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager has an ownership interest in the pharmacy or entity; or

        (2)    the pharmacy or entity has an ownership interest in the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager.

    (c)    A pharmacy benefits manager may require a beneficiary to use a specific pharmacy or entity for a specialty drug as defined in § 15–847 of this title.



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