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§ 15-1611.1. Required use of a specific pharmacy or entity

West's Annotated Code of MarylandInsuranceEffective: January 1, 2022

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 16. Pharmacy Benefits Managers (Refs & Annos)
Part II. Registration and Regulation of Pharmacy Benefits Managers
Effective: January 1, 2022
MD Code, Insurance, § 15-1611.1
§ 15-1611.1. Required use of a specific pharmacy or entity
Currentness
Application of section
(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier.
In general
(b) Except as provided in subsection (c) of this section, a pharmacy benefits manager may not require that a beneficiary use a specific pharmacy or entity to fill a prescription if:
(1) the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager has an ownership interest in the pharmacy or entity; or
(2) the pharmacy or entity has an ownership interest in the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager.
Specialty drug
(c) A pharmacy benefits manager may require a beneficiary to use a specific pharmacy or entity for a specialty drug as defined in § 15-847 of this title.

Credits

Added by Acts 2019, c. 550, § 1, eff. June 1, 2019. Amended by Acts 2021, c. 358, § 1, eff. Jan. 1, 2022.
MD Code, Insurance, § 15-1611.1, MD INSURANCE § 15-1611.1
Current through legislation effective through April 25, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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