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Statutes Text

Article - Insurance




§15–1612.

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

    (b)    This section does not apply to reimbursement:

        (1)    for specialty drugs;

        (2)    for mail order drugs; or

        (3)    to a chain pharmacy with more than 15 stores or a pharmacist who is an employee of the chain pharmacy.

    (c)    A pharmacy benefits manager may not reimburse a pharmacy or pharmacist for a pharmaceutical product or pharmacist service in an amount less than the amount that the pharmacy benefits manager reimburses itself or an affiliate for providing the same product or service.



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