{"data":{"id":"us-nc/n.c.-gen.-stat.-135-48.36","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 135-48.36","heading":"Pharmacy benefits manager contracts.","body":"The Executive Administrator shall consider incorporating the following items into a request for proposal for a pharmacy benefits manager for the Plan:\n(1)\tAllowing the Plan's pharmacy benefits managers to provide a monetary advantage to pharmacies in North Carolina neighborhoods, communities, and counties that are underserved by pharmacies.\n(2)\tRequiring the Plan's pharmacy benefits managers to annually report all of the information required in G.S. 58-56A-22 to the State Treasurer, Commissioner of Insurance, and Joint Legislative Oversight Committee on Health and Human Services no later than May 1 of each year.\n(3)\tPreventing the Plan's pharmacy benefits managers from contractually requiring independent pharmacies to accept reimbursement for a drug, device, or pharmacy service in an amount that is less than the acquisition cost of the drug, device, or pharmacy service.\n(4)\tRequiring the Plan and the Plan's pharmacy benefits managers to adhere to the coverage requirements of G.S. 58-56A-55.\n(5)\tRequiring the Plan's pharmacy benefits managers to act as a fiduciary in accordance with G.S. 58-56A-21.\n(6)\tRequiring the Plan and the Plan's pharmacy benefits managers to adhere to the pharmacy of choice provisions of G.S. 58-51-37.\n(7)\tRequiring the Plan's pharmacy benefits managers to meet or exceed the Medicare Part D program standards for convenient access to network pharmacies under 42 C.F.R. § 423.120.\n(8)\tRequiring the Plan's pharmacy benefits managers to reimburse affiliated and non-affiliated pharmacies on the same terms.\n(9)\tAdhering to the cost-sharing consumer protection provisions of G.S. 58-3-182. (2025-69, s. 10(a).)","path":["Chapter 135. Retirement System for Teachers and State Employees; Social Security; State Health Plan for Teachers and State Employees.","Article 3B. State Health Plan for Teachers and State Employees.","Part 3. Plan Operation."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_135/GS_135-48.36.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:21:42Z","sha256":"0f98a2263c7e77cefab8b042b080cdd2e9222b5faaad85bf1c1aec8fcc6bebbd","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-135-48.35","next":"us-nc/n.c.-gen.-stat.-135-48.37"},"notice":"GroundRules: Original legal text. Not legal advice."}