PHARMACY BENEFIT PROMPT PAY ACT

Section 73-21-151 - Short title
Section 73-21-153 - Definitions
Section 73-21-155 - Most current reference price to be used in calculation of reimbursement for prescription drugs and other products and supplies; updating of reference price; time period for payment of benefits; "clean claim" defined; compliance; penalties; retroactive denial or reduction of claim after adjudication prohibited
Section 73-21-156 - Placement of drug on maximum allowable cost list; access, update and notification of update to maximum allowable cost list; administrative appeal procedure for challenge to maximum allowable cost list and reimbursements; reimbursement by pharmacy benefit manager to pharmacy or pharmacist in amount less than reimbursement to pharmacy benefit manager affiliate for same pharmacist services prohibited
Section 73-21-157 - License required to do business as pharmacy benefit manager; pharmacy benefit managers to file certain financial statements with State Board of Pharmacy; proprietary information to be marked confidential when submitted to board; penalty for release of confidential information; criminal history records check for board employees with access to such information; time period for filing statements
Section 73-21-159 - Financial examination of pharmacy benefit manager
Section 73-21-161 - Referral by pharmacy or pharmacy benefit manager or affiliate, or transfer or sharing records relative to certain prescription information, or presentation of claim for payment pursuant to referral from affiliate prohibited; pharmacy licensed or holding nonresident pharmacy permit to annually file disclosure statement identifying affiliates; violation of section
Section 73-21-163 - Action for temporary or permanent injunction against pharmacy benefit manager or affiliate to prohibit use of certain methods, acts or practices; monetary penalties for noncompliance with Sections 73-21-151 through 73-21-163; enforcement of payment of penalties; development of uniform penalty policy