Maryland Statutes
Subtitle 20 - Pharmacy Services Administrative Organizations
Section 15-2001 - Definitions

(a)    In this subtitle the following words have the meanings indicated.
    (b)    “Independent pharmacy” means a pharmacy operating within the State that is under common ownership with not more than two other pharmacies.
    (c)    “Pharmacy benefits manager” has the meaning stated in § 15–1601 of this title.
    (d)    “Pharmacy services administrative contract” means a contractual agreement between a pharmacy services administrative organization and an independent pharmacy under which a pharmacy services administrative organization agrees to negotiate with purchasers or pharmacy benefits managers on behalf of one or more independent pharmacies.
    (e)    (1)    “Pharmacy services administrative organization” means an entity that provides a contracted pharmacy with contracting administrative services relating to prescription drug benefits.
        (2)    “Pharmacy services administrative organization” does not include a nonprofit health maintenance organization that:
            (i)    operates as a group model;
            (ii)    provides services solely to a member or patient of the nonprofit health maintenance organization; and
            (iii)    furnishes services through the internal pharmacy operations of the nonprofit health maintenance organization.
    (f)    (1)    “Purchaser” means the State Employee and Retiree Health and Welfare Benefits Program, an insurer, a nonprofit health services plan, or a health maintenance organization that provides prescription drug coverage or benefits in the State.
        (2)    “Purchaser” does not include a person that provides prescription drug coverage or benefits through plans subject to the Employee Retirement Income Security Act of 1974 and does not provide prescription drug coverage or benefits through insurance, unless the person is a multiple employer welfare arrangement as defined in § 514(b)(6)(A)(ii) of the Employee Retirement Income Security Act of 1974.

Structure Maryland Statutes

Maryland Statutes

Insurance

Title 15 - Health Insurance

Subtitle 20 - Pharmacy Services Administrative Organizations

Section 15-2001 - Definitions

Section 15-2002 - Registration as Pharmacy Services Administrative Organization -- Requirements

Section 15-2003 - Expiration or Renewal of Registration

Section 15-2004 - Registration Prerequisite to Agreements or Contracts

Section 15-2005 - Basis of Denial of Registration or Suspension or Revocation

Section 15-2006 - Recordkeeping Requirements

Section 15-2007 - Review by Commissioner -- Expense

Section 15-2008 - Adoption of Regulations

Section 15-2009 - Review Authority Not Diminished

Section 15-2010 - Filing of Contract or Amendment to Contract

Section 15-2011 - Provision of Certain Documents by Pharmacy Services Administrative Organization -- Confidential

Section 15-2012 - Disclosure of Ownership or Control to Commissioner -- Notification of Changes

Section 15-2013 - Disclosure of Ownership or Control to Independent Pharmacy -- Notification of Changes

Section 15-2014 - Disclosure of Ownership or Control to Purchaser or Pharmacy Benefits Manager -- Notification of Changes

Section 15-2015 - Timely Submission of Remittances

Section 15-2016 - Certain Contractual Requirements Prohibited -- Certain Disclosures to Commissioner

Section 15-2017 - Confidentiality of Disclosures

Section 15-2018 - Implementation Policies and Procedures

Section 15-2019 - Pharmacy Services Administrative Organization Prohibited From Certain Actions -- Violations and Penalties -- Service of Notices -- Regulatory Authority