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2019 Delaware Code
Title 18 - Insurance Code
Chapter 33A. Pharmacy Benefits Managers [For application of this chapter, see 80 Del. Laws, c. 245, §  2]
Subchapter II Maximum Allowable Cost Pricing for Prescription Drugs [For application of this subchapter, see 80 Del. Laws, c. 245, § 2]
§ 3321A Definitions [For application of this section, see 80 Del. Laws, c. 245, § 2] [Effective until June 1, 2020].

Universal Citation:
18 DE Code § 3321A (2019)
Learn more This media-neutral citation is based on the American Association of Law Libraries Universal Citation Guide and is not necessarily the official citation.

As used in this subchapter:

(1) “Claim” means a request from a pharmacy or pharmacist to be reimbursed for the cost of filling or refilling a prescription for a drug or for providing a medical supply or device.

(2) “Insurer” means any entity that provides health insurance coverage in this State as defined in § 903 of this title.

(3) “List” means the list of drugs for which a pharmacy benefit manager has established a maximum allowable cost.

(4) “Maximum allowable cost” means the maximum amount that a pharmacy benefit manager will reimburse a pharmacist or pharmacy for the cost of a multi-sourced drug.

(5) “Network providers” means those pharmacists and pharmacies who provide covered health-care services or supplies to an insured or a member pursuant to a contract with an insurer or pharmacy benefits manager.

(6) “Pharmacist” has the meaning given that term in § 2502 of Title 24.

(7) “Pharmacy” has the meaning given that term in § 2502 of Title 24.

(8) “Pharmacy benefit manager” has the meaning given in § 3302A of this title.

80 Del. Laws, c. 245, § 1.

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