Unannotated Code of Maryland (Last Updated: May 16, 2014) |
INSURANCE |
TITLE 15. HEALTH INSURANCE |
SUBTITLE 16. PHARMACY BENEFITS MANAGERS |
PART V. CONTRACTS WITH PHARMACIES AND PHARMACISTS; AUDITS |
§ 15-1628. Required disclosures by pharmacy benefits manager.
Latest version.
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At the time of entering into a contract with a pharmacy or a pharmacist, and at least 30 working days before any contract change, a pharmacy benefits manager shall disclose to the pharmacy or pharmacist:
(1) the applicable terms, conditions, and reimbursement rates;
(2) the process and procedures for verifying pharmacy benefits and beneficiary eligibility;
(3) the dispute resolution and audit appeals process; and
(4) the process and procedures for verifying the prescription drugs included on the formularies used by the pharmacy benefits manager.