2015 North Carolina General Statutes
Chapter 58 - Insurance.
Article 56A - Pharmacy Benefits Management.
§ 58-56A-1 - Definitions.

NC Gen Stat § 58-56A-1 (2015) What's This?

58-56A-1. Definitions.

The following definitions apply in this Article:

(1) Health benefit plan. - As defined in G.S. 58-50-110(11). This definition specifically excludes the State Health Plan for Teachers and State Employees.

(2) Insurer. - Any entity that provides or offers a health benefit plan.

(3) Maximum allowable cost price. - The maximum per unit reimbursement for multiple source prescription drugs, medical products, or devices.

(4) Pharmacy. - A pharmacy registered with the North Carolina Board of Pharmacy.

(5) Pharmacy benefits manager. - An entity who contracts with a pharmacy on behalf of an insurer or third-party administrator to administer or manage prescription drug benefits.

(6) Third-party administrator. - As defined in G.S. 58-56-2. (2014-120, s. 20(a).)


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