Unannotated Code of Maryland (Last Updated: May 16, 2014) |
INSURANCE |
TITLE 15. HEALTH INSURANCE |
SUBTITLE 16. PHARMACY BENEFITS MANAGERS |
PART I. DEFINITIONS |
§ 15-1601. Definitions. |
§ 15-1602, 15-1603. |
PART II. REGISTRATION AND REGULATION OF PHARMACY BENEFITS MANAGERS |
§ 15-1604. Registration. |
§ 15-1605. Expiration; renewal. |
§ 15-1606. Agreements with unregistered pharmacy benefits managers prohibited. |
§ 15-1607. Denials, suspensions, revocations, and refusals to renew. |
§ 15-1608. Books and records. |
§ 15-1609. Examinations. |
§ 15-1610. Delivery through nonresident pharmacies. |
§ 15-1611, 15-1612. |
PART III. PHARMACY AND THERAPEUTICS COMMITTEES |
§ 15-1613. In general |
§ 15-1614. Composition; conflict of interest statement |
§ 15-1615. Mandatory participation on committee prohibited |
§ 15-1616. Disclosure about composition |
§ 15-1617. Required policies, procedures, and processes. |
§ 15-1618. Accreditation |
§ 15-1619. Regulations |
§ 15-1620, 15-1621. |
PART IV. DISCLOSURES TO PURCHASERS |
§ 15-1622. Scope of Part. |
§ 15-1623. Requirements before entering into contract |
§ 15-1624. Rebate sharing contract |
§ 15-1625. Effect of Part |
§ 15-1626, 15-1627. |
PART V. CONTRACTS WITH PHARMACIES AND PHARMACISTS; AUDITS |
§ 15-1628. Required disclosures by pharmacy benefits manager. |
§ 15-1629. Audits by pharmacy benefits manager |
§ 15-1630. Internal review process |
§ 15-1631. Retroactive denial or modification of reimbursement for approved claim |
§ 15-1632. |
PART VI. THERAPEUTIC INTERCHANGES |
§ 15-1633. When request allowed |
§ 15-1634. Authorization; disclosures; money-saving claims; payment for interchange |
§ 15-1635. Requirements when interchange occurs |
§ 15-1636. Cancellation and reversal |
§ 15-1637. Maintenance of toll-free telephone number |
§ 15-1638. Privacy standards |
§ 15-1639. Policies and procedures |
§ 15-1640, 15-1641. |
PART VII. PENALTIES |
§ 15-1642. Violations; enforcement. |