KRS 304.17A-593: Requirement to provide reasonably adequate and accessible

pharmacy networks -- Annual report to commissioner -- Confidential

information not subject to disclosure.

To the extent permitted under federal law:

(1) (a) An insurer, a pha rmacy benefit manager, or any other administrator of

pharmacy benefits that utilizes a network to provide pharmacy or pharmacist

services under a health plan shall ensure that the network is reasonably

adequate and accessible with respect to the provision of pharmacy or

pharmacist services.

(b) A reasonably adequate and accessible network, with respect to the provision

of pharmacy or pharmacist services, shall, at a minimum:

1. Offer an adequate number of accessible pharmacies that are not mail -

order pharmacies; and

2. Provide convenient access to pharmacies that are not mail -order

pharmacies within a reasonable distance from the insured's residence,

but in no event shall the distance be more than thirty (30) miles from

each insured's residence, to the exten t that pharmacy or pharmacist

services are available; and

(2) (a) An insurer, a pharmacy benefit manager, and any other administrator of

pharmacy benefits conducting business in this state shall file with the

commissioner an annual report, in the manner an d form prescribed by the

commissioner, describing the networks of the insurer, pharmacy benefit

manager, or other administrator that are utilized for the provision of pharmacy

or pharmacist services under a health plan.

(b) The commissioner shall review ea ch network to ensure that the network

complies with this section.

(c) All information and data acquired by the department under this subsection

that is generally recognized as confidential or proprietary shall not be subject

to disclosure under KRS 61.870 to 61.884, except the department may

publicly disclose aggregated information not descriptive of any readily

identifiable person or entity.