North Carolina General Statutes
Article 56A - Pharmacy Benefits Management.
§ 58-56A-21 - Claims data provided to health benefit plan.

58-56A-21. Claims data provided to health benefit plan.
Upon the request of an insurer offering a health benefit plan that contracts with a pharmacy benefits manager, the pharmacy benefits manager shall provide the insurer with claims data that reflects the total amount the insurer paid to the pharmacy benefits manager under the health benefit plan for a specified outpatient prescription drug, including the ingredient cost and the dispensing fee. The pharmacy benefits manager shall also provide the cost that it paid for the specified outpatient prescription drug, including the ingredient cost and the dispensing fee. (2021-161, s. 1(b).)

Structure North Carolina General Statutes