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054.00.75-5. Definitions

AR ADC 054.00.75-5Arkansas Administrative Code

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule 75. Uniform Prescription Drug Information Cards Regulation
Ark. Admin. Code 054.00.75-5
054.00.75-5. Definitions
8. “Card Issuer” means the insurance company, hospital medical service corporation, health maintenance organization or other entity issuing a Health Benefit Plan that provides prescription drug benefits.
9. “Health Benefit Plan” means any individual, blanket or group plan, policy, certificate or contract for health care services issued or delivered in Arkansas, including indemnity plans, managed care plans, plans provided or arranged by fraternal benefit societies, plans provided or arranged by health maintenance organizations, health governmental plans as defined in 29 U.S.C. 1002(32), as in effect January 1, 2001, plans provided through a multiple employer welfare arrangement, or plans provided through another benefit arrangement, to the extent permitted by the Employee Retirement Income Security Act of 1974, as in effect January 1, 2001, or by any waiver of or other exception to that act provided under federal law or regulation, as in effect January 1, 2001.
10. “Dual-Use Health Benefit Plan/Prescription Drug Information Card” means a Prescription Drug Information Card that contains information for the processing of claims for health care services, supplies, or equipment in addition to prescription drugs or devices.
11. “Prescription Drug Information Card” means an identification card sized document that contains information necessary for a pharmacist to communicate claims information to a Processor to adjudicate claims for prescription drugs and devices.
12. “Processor” means the entity that electronically receives and adjudicates a prescription drug claim. The Processor may be a Pharmacy Benefits Manager or the Card Issuer.
13. “Stand-Alone Prescription Drug Information Card” means a Prescription Drug Information Card that provides information solely for the processing of claims for prescription drugs and devices.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.75-5, AR ADC 054.00.75-5
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