{"data":{"id":"us-de/18-del.-c.-3321a","jurisdiction":"us-de","citation":"18 Del. C. § 3321A","heading":"Definitions [For application of this section, see 80 Del. Laws, c. 245, § 2].","body":"As used in this subchapter:\n(1) “Claim” means a request from a pharmacy or pharmacist to be reimbursed for the cost of filling or refilling a prescription for a drug or for providing a medical supply or device.\n(2) “Contracted pharmacy” means a pharmacy that participates in the network of a pharmacy benefits manager through a contract with a pharmacy benefits manager, a pharmacy services administration organization, or a group purchasing organization.\n(3) “Drug shortage list” means a list of drug products listed on the federal Food and Drug Administration’s Drug Shortages website.\n(4) “Insurer” means any entity that provides health insurance coverage in this State as defined in § 903 of this title.\n(5) “Maximum allowable cost” means the maximum amount that a pharmacy benefits manager will reimburse a pharmacist or pharmacy for the cost of a multi-sourced drug, medical product, or device.\n(6) “Maximum allowable cost list” means the multi-source generic drugs, medical products, and devices for which a maximum allowable cost has been established by a pharmacy benefits manager or a purchaser.\n(7) “Network providers” means those pharmacists and pharmacies who provide covered health-care services or supplies to an insured or a member pursuant to a contract with an insurer or pharmacy benefits manager.\n(8) “Pharmacist” means as defined under § 2502 of Title 24.\n(9) “Pharmacy” means as defined under § 2502 of Title 24.\n(10) “Pharmacy benefits management services” means as defined under § 3351A of this title.\n(11) “Pharmacy benefits manager” means as defined under § 3302A of this title.\n(12) “Purchaser” means as defined under § 3351A of this title.","path":["Title 18. Insurance Code","Insurance","CHAPTER 33A. Pharmacy Benefits Managers [For application of this chapter, see 80 Del. Laws, c. 245, § 2]","Subchapter II. Maximum Allowable Cost Pricing for Prescription Drugs and Reimbursement for and Provision of Pharmacy Goods or Services [For application of this subchapter, see 80 Del. Laws, c. 245, § 2; and 83 Del. Laws, c. 256, § 15]"],"source_url":"https://delcode.delaware.gov/title18/c033a/sc02/index.html#3321A","current_through":"2026-08-10 (85 Del. Laws, c. 421, 424)","vintage":"","retrieved_at":"2026-09-05T23:02:24Z","sha256":"38c75bb3ca54cbc6feaad70c70464d2add615690fbd3d88706e4833816e6af80","source_id":"us-de","stale":true,"prev":"us-de/18-del.-c.-3310a","next":"us-de/18-del.-c.-3322a"},"notice":"GroundRules: Original legal text. Not legal advice."}
