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.