Bill number does not exist. Enter a vaild keyword.
Facebook Twitter Youtube Channels MY MGA

Statutes Text

Article - Insurance




§15–1611.1.    IN EFFECT

    (a)    Except as provided in subsection (b) 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.

    (b)    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.

§15–1611.1.    ** TAKES EFFECT JANUARY 1, 2022 PER CHAPTER 358 OF 2021 **

    (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.



Click to return on the top page