(a) At least 30 days before the change is effective, an administrator of a plan that provides pharmaceutical benefits shall notify in writing all pharmacies under contract with the plan of any of the following changes in the pharmaceutical benefit program rules or requirements:
(1) exclusion of coverage for classes of drugs as specified by contract;
(2) changes in prior or preauthorization procedures; or
(3) selection of new prescription claims processors.
(b) An administrator that fails to provide advance notice under subsection (a) of this section shall honor and pay in full any claim under the program rules or requirements that existed before the change for 30 days after the postmarked date of the notice.
Structure Maryland Statutes
Title 8 - Entities That Act as Insurers
Subtitle 3 - Third Party Administrators
Section 8-303 - Registration Required
Section 8-304 - Qualifications of Applicants
Section 8-305 - Applications for Registration
Section 8-307 - Issuance of Registration
Section 8-308 - Term and Renewal of Registration
Section 8-308.1 - Reinstatement of Registration
Section 8-309 - Denials, Refusals to Renew, Suspensions, and Revocations
Section 8-310 - Administrator's Duties With Respect to Plan
Section 8-311 - Agreement Between Administrator and Plan Sponsor or Insurer
Section 8-312 - Books and Records About Plan
Section 8-313 - Notice to Pharmacies of Change in Pharmaceutical Benefits
Section 8-314 - Errors and Omissions Policy
Section 8-315 - Waiver of Liability by Administrator Void; Liability Insurance
Section 8-316 - Prohibited Activities of Administrator
Section 8-317 - Allowing Another to Act as Administrator in Violation of Subtitle
Section 8-319 - Investigations by Commissioner
Section 8-320 - Enforcement of Subtitle
Section 8-321 - Liability of Administrator
Section 8-321.1 - Third Party Administrator to Comply With 27-803