(a) This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier.
(b) This section does not apply to reimbursement:
(1) for specialty drugs;
(2) for mail order drugs; or
(3) to a chain pharmacy with more than 15 stores or a pharmacist who is an employee of the chain pharmacy.
(c) A pharmacy benefits manager may not reimburse a pharmacy or pharmacist for a pharmaceutical product or pharmacist service in an amount less than the amount that the pharmacy benefits manager reimburses itself or an affiliate for providing the same product or service.
Structure Maryland Statutes
Subtitle 16 - Pharmacy Benefits Managers
Part II - Registration and Regulation of Pharmacy Benefits Managers
Section 15-1604 - Registration
Section 15-1605 - Expiration; Renewal
Section 15-1606 - Agreements With Unregistered Pharmacy Benefits Managers Prohibited
Section 15-1607 - Denials, Suspensions, Revocations, and Refusals to Renew
Section 15-1608 - Books and Records
Section 15-1609 - Examinations
Section 15-1610 - Delivery Through Nonresident Pharmacies
Section 15-1611 - Information on and Sales of Prescription Drugs
Section 15-1611.1 - Choice of Pharmacy by Beneficiary to Fill Prescription
Section 15-1612 - Reimbursement for Pharmaceutical Product or Pharmacist Service