A pharmacy benefits manager licensed pursuant to the Pharmacy Benefits Manager Regulation Act shall be subject to Section 61-11-18.2 NMSA 1978. A pharmacy benefits manager shall not reduce or eliminate payment on an adjudicated claim except as permitted by Section 61-11-18.2 NMSA 1978.
History: Laws 2014, ch. 14, § 6; 2019, ch. 269, § 5.
The 2019 amendment, effective July 1, 2019, provided that a pharmacy benefits manager shall not reduce or eliminate payment on an adjudicated claim except as permitted by Section 61-11-18.2 NMSA 1978; and added the last sentence of the section.
Structure New Mexico Statutes
Article 61 - Pharmacy Benefits Manager Regulation
Section 59A-61-1 - Short title.
Section 59A-61-2 - Definitions.
Section 59A-61-3 - Licensure; initial application; annual renewal required; revocation.
Section 59A-61-4 - Pharmacy reimbursement practices for generic drugs; appeals process required.
Section 59A-61-6 - Audit; pharmacy benefits manager.
Section 59A-61-7 - Pharmacy benefits managers; prohibited pharmacy fees.
Section 59A-61-8 - Registration of pharmacy services administrative organizations required.