There is a newer version of this Section
2020 Maryland Statutes
Title 15 - Health Insurance
Subtitle 16 - Pharmacy Benefits Managers
Part V - Contracts With Pharmacies and Pharmacists; Audits
Section 15-1628.3 - Fee or Performance-Based Reimbursement Related to Claim Adjudication
Universal Citation: MD. Insurance Code Ann. § 15-1628.3 (2020)
(a) A pharmacy benefits manager or a purchaser may not directly or indirectly charge a contracted pharmacy, or hold a contracted pharmacy responsible for, a fee or performance–based reimbursement related to the adjudication of a claim or an incentive program.
(b) A pharmacy benefits manager or purchaser may not make or allow any reduction in payment for pharmacy services by a pharmacy benefits manager or purchaser or directly or indirectly reduce a payment for a pharmacy service under a reconciliation process to an effective rate of reimbursement, including generic effective rates, brand effective rates, direct and indirect remuneration fees, or any other reduction or aggregate reduction of payments.
Disclaimer: These codes may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.