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§ 15-1612. Amount of reimbursement

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, § 15-1612
§ 15-1612. Amount of reimbursement
Currentness
Application of section to pharmacy benefits managers
(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier.
Applicability of section to reimbursement
(b) This section does not apply to reimbursement:
(1) for specialty drugs;
(2) for mail order drugs; or
(3) to a chain pharmacy with more than 15 stores or a pharmacist who is an employee of the chain pharmacy.
Amount of reimbursement
(c) A pharmacy benefits manager may not reimburse a pharmacy or pharmacist for a pharmaceutical product or pharmacist service in an amount less than the amount that the pharmacy benefits manager reimburses itself or an affiliate for providing the same product or service.

Credits

Added by Acts 2018, c. 451, § 1, eff. June 1, 2018. Amended by Acts 2021, c. 358, § 1, eff. Jan. 1, 2022.
MD Code, Insurance, § 15-1612, MD INSURANCE § 15-1612
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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