A covered entity or pharmacy benefits manager shall not charge a pharmacist or a pharmacy a fee related to a claim unless it is apparent at the time of claim processing and is reported on the remittance advice of an adjudicated claim. This section does not prohibit a covered entity or pharmacy benefits manager from entering into an agreement with a pharmacy or pharmacist which includes prospective performance-based incentives and increases payment to pharmacies or pharmacists.
Structure 2021 Tennessee Code
Chapter 7 - Policies and Policyholders
Part 31 - Pharmacy Benefits Managers
§ 56-7-3105. Contract Compliance
§ 56-7-3109. Medical Products and Devices Subject to Requirements of Part
§ 56-7-3110. Sanctions for Violation of Part
§ 56-7-3111. Disclosure of Maximum Allowable Cost Lists and Related Information
§ 56-7-3115. Prohibited Charges
§ 56-7-3116. Prohibited Terms or Conditions in Contracts
§ 56-7-3117. Disclosure of Material Changes to Contract Provisions