59A-61-7: Pharmacy benefits managers; prohibited pharmacy fees.
Where this section sits in the code
- Chapter 59A - Insurance Code
- ARTICLE 61 Pharmacy Benefits Manager Regulation
A. A pharmacy benefits manager shall not charge a pharmacy a fee related to the adjudication of a claim, including:
(1) the receipt and processing of a pharmacy claim;
(2) the development or management of a claim processing or adjudication network; or
(3) participation in a claim processing or claim adjudication network.
B. A pharmacy benefits manager shall not charge a pharmacy a fee for a service unless the fee for service is itemized in the pharmacy benefits management contract.
Collected 2026-09-03T15:02:20Z. Source file · JSON