Current through L. 2024, ch. 259
Section 20-3331 - Pharmacy benefit managers; requirements; applicabilityA. A pharmacy benefit manager shall do all of the following: 1. Update the price and drug information for each list that the pharmacy benefit manager maintains every seven business days.2. At the beginning of the term of a contract, on renewal of a contract and at least once annually during the term of a contract, make available to each network pharmacy the sources used to determine maximum allowable cost pricing.3. Establish a process by which a network pharmacy may appeal its reimbursement for a drug subject to maximum allowable cost pricing.4. Allow a pharmacy services administrative organization that is contracted with the pharmacy benefit manager to file an appeal of a drug on behalf of the organization's contracted pharmacies.B. Beginning on January 1, 2020, this section applies to all new and existing contracts between a pharmacy benefit manager and a licensed pharmacy.Added by L. 2019, ch. 152,s. 2, eff. 8/27/2019.