2018 South Carolina Code of Laws
Title 38 - Insurance
CHAPTER 71 - ACCIDENT AND HEALTH INSURANCE
Section 38-71-2130. Duties of pharmacy benefit manager.
A pharmacy benefit manager must:
(1) make available to each network provider at the beginning of the term of the network provider's contract, and upon renewal of the contract, the sources utilized to determine the maximum allowable cost pricing;
(2) provide a process for network pharmacy providers to readily access the maximum allowable cost specific to that provider;
(3) review and update maximum allowable cost price information at least once every seven business days to reflect any modification of maximum allowable cost pricing; and
(4) ensure that dispensing fees are not included in the calculation of maximum allowable cost.
HISTORY: 2016 Act No. 163 (S.849), Section 1, eff January 1, 2016.
Editor's Note
2016 Act No. 163, Section 2, provides as follows:
"SECTION 2. This article applies to contracts between pharmacies and pharmacy benefit managers that are entered into, renewed, or extended on or after the effective date of this act."
