Rutgers Law

Title: 17B - INSURANCE

Chapter: 27F - Pharmacy Benefits Managers

Title: 17B - INSURANCE

Chapter: 27F -

17b:27f-1: Definitions relative to pharmacy benefits managers.

17b:27f-1.1: Pharmacy benefits manager, license, pharmacy services administrative, registration.

17b:27f-2: Duties of pharmacy benefits manager relative to contracts.

17b:27f-3: Requirements for placing prescription drug on multiple source generic list.

17b:27f-3.1: Carrier duties, responsibilities.

17b:27f-3.2: Compensation remitted, pharmaceutical manufacturer, developer, labeler, carrier, pharmacy benefits manager under contract; report.

17b:27f-3.3: Carrier, pharmacy benefits manager under contract, pharmacy and therapeutics committee, established, formulary system management.

17b:27f-3.4: Carrier, use of pharmacy benefits manager, administer, manage, prescription drug benefits, claims, parameters.

17b:27f-4: Process for appeals, investigation and dispute resolution.

17b:27f-5: Rules, regulations.

17b:27f-6: Regulations relative to pharmacy benefits managers.

17b:27f-7: "Clean Claim" made by a pharmacy, actions of pharmaceutical benefits managers.

17b:27f-8: Commissioner review, approval.

17b:27f-9: Applicability of C.17B:27F-1 et seq.

17b:27f-9.1: Carrier, health benefits plan, access data, administration, provision, prescription drug benefits; penalties.

17b:27f-10: Violations, penalties.