18 Del. Admin. Code § 1411-3.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 1411-3.0 - Requirement for Registration; Insurer Responsibilities

3.1 No insurer may enter into a written agreement or contract with a pharmacy benefits manager unless the pharmacy benefits manager is registered with the Department in accordance with Section 4.0 of this regulation.

3.2 An insurer who uses one or more PBMs for administration of the pharmacy benefits provided under its health benefit plans remains responsible for:

3.2.1 Ensuring that its pharmacy benefits comply with coverage requirements mandated under Title 18 of the Delaware Code; and

3.2.2 The insurer's compliance with the requirements under 18 Del.C. Ch. 73.

18 Del. Admin. Code § 1411-3.0

26 DE Reg. 594 (1/1/2023) (Final)