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South Carolina · Through 2025 Session of the General Assembly

S.C. Code Ann. § 38-71-2235: Pharmacy benefits managers must exercise good faith and fair dealing; phone number required; sharing information.

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Where this section sits in the code
  1. Title 38 - INSURANCE
  2. CHAPTER 71 Accident and Health Insurance
  3. ARTICLE 21 Pharmacy Benefits Managers

(A) A pharmacy benefits manager must perform its duties to a health benefit plan or health care insurer exercising good faith and fair dealing.

(B) A pharmacy benefits manager must provide during normal business hours a phone number through which a pharmacy or pharmacist can obtain answers within a reasonable time to questions regarding networks, patient benefits, appeals, and other contractual or service issues.

(C) A pharmacy benefits manager may not prohibit a pharmacy services administrative organization or pharmacy from sharing information directly with the department.

Collected 2026-09-02T07:14:39Z. Source file · JSON

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