510B.7 Duties to pharmacy network providers.
1. A pharmacy benefits manager shall not mandate basic recordkeeping that is more stringent than that required by state or federal law or regulation.
2. If a pharmacy benefits manager receives notice from a covered entity of termination of the covered entity’s contract, the pharmacy benefits manager shall notify, within ten working days of the notice, all pharmacy network providers of the effective date of the termination.
3. Within three business days of a price increase notification by a manufacturer or supplier, a pharmacy benefits manager shall adjust its payment to the pharmacy network provider consistent with the price increase.
2007 Acts, ch 193, §7, 9
Structure Iowa Code
Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS
Section 510B.2 - Certification as a third-party administrator required.
Section 510B.3 - Enforcement — rules.
Section 510B.4 - Performance of duties — good faith — conflict of interest.
Section 510B.5 - Contacting covered individual — requirements.
Section 510B.6 - Dispensing of substitute prescription drug for prescribed drug.
Section 510B.7 - Duties to pharmacy network providers.
Section 510B.8 - Pricing methodology for maximum reimbursement amount.
Section 510B.9 - Submission, approval, and use of prior authorization form.