58-29E-4. Disclosure by manager of revenues received from pharmaceutical manufacturer or labeler under contract with manager--Content--Fees.
A covered entity may request that any pharmacy benefits manager with which it has a pharmacy benefits management services contract disclose to the covered entity, the amount of all rebate revenues and the nature, type, and amounts of all other revenues that the pharmacy benefits manager receives from each pharmaceutical manufacturer or labeler with whom the pharmacy benefits manager has a contract. The pharmacy benefits manager shall disclose in writing:
(1)The aggregate amount, and for a list of drugs to be specified in the contract, the specific amount, of all rebates and other retrospective utilization discounts received by the pharmacy benefits manager directly or indirectly, from each pharmaceutical manufacturer or labeler that are earned in connection with the dispensing of prescription drugs to covered individuals of the health benefit plans issued by the covered entity or for which the covered entity is the designated administrator;
(2)The nature, type, and amount of all other revenue received by the pharmacy benefits manager directly or indirectly from each pharmaceutical manufacturer or labeler for any other products or services provided to the pharmaceutical manufacturer or labeler by the pharmacy benefits manager with respect to programs that the covered entity offers or provides to its enrollees; and
(3)Any prescription drug utilization information requested by the covered entity relating to covered individuals.
A pharmacy benefits manager shall provide such information requested by the covered entity for such disclosure within thirty days of receipt of the request. If requested, the information shall be provided no less than once each year. The contract entered into between the pharmacy benefits manager and the covered entity shall set forth any fees to be charged for drug utilization reports requested by the covered entity.
Source: SL 2004, ch 311, ยง4.
Structure South Dakota Codified Laws
Chapter 29E - Pharmacy Benefits Management
Section 58-29E-1 - Definition of terms.
Section 58-29E-2 - Pharmacy benefits manager licensed as third party administrator.
Section 58-29E-3 - Manager to perform duties in good faith.
Section 58-29E-5 - Permission of entity required to contact covered individual--Exception.
Section 58-29E-6 - Confidentiality of information--Injunction--Damages.
Section 58-29E-7 - Audits of manager's books and records .
Section 58-29E-8 - Dispensation of substitute prescription drug for prescribed drug.
Section 58-29E-8.1 - Cost-sharing information not to be restricted.
Section 58-29E-9 - Rules--Content.
Section 58-29E-10 - Civil action--Enforcement of chapter--Damages.
Section 58-29E-11 - Application of chapter to certain contracts.
Section 58-29E-13 - Certain claims adjustments prohibited.
Section 58-29E-14 - Adjustment of claim due to error in adjudication permitted.