N.Y. Comp. Codes R. & Regs. tit. 11 § 452.5

Current through Register Vol. 46, No. 50, December 11, 2024

Section 452.5 - Compliance Cost Disclosure

(a) To the extent that any pharmacy benefit manager states that an increase in the amount that the pharmacy benefit manager charges to a health plan for providing pharmacy benefit management services is attributable to the cost of complying with the requirements of this Chapter, the pharmacy benefit manager shall, at the request of the health plan, provide such health plan with:

(1) a list of the requirements in this Chapter that have resulted in the cost increase;

(2) the cost of complying with each requirement that is attributable to such plan; and

(3) any amount in addition to the cost of complying with the regulations that the pharmacy benefit manager is charging to such plan.

(b) A pharmacy benefit manager shall retain all records evidencing how the costs of complying with the requirements of this Chapter were calculated and how the charges for such costs were allocated to health plans. Such documents shall be retained in accordance with the provisions of Part 455 of this Title.

N.Y. Comp. Codes R. & Regs. Tit. 11 § 452.5

Adopted New York State Register November 27, 2024/Volume XLVI, Issue 48, eff. 11/27/2024