Current through 2024 Legislative Session Act Chapter 531
Section 3321A - Definitions. [for application of this section, see 80 del. laws, c. 245, section 2]As used in this subchapter:
(1) "Claim" means a request from a pharmacy or pharmacist to be reimbursed for the cost of filling or refilling a prescription for a drug or for providing a medical supply or device.(2) "Contracted pharmacy" means a pharmacy that participates in the network of a pharmacy benefits manager through a contract with a pharmacy benefits manager, a pharmacy services administration organization, or a group purchasing organization.(3) "Drug shortage list" means a list of drug products listed on the federal Food and Drug Administration's Drug Shortages website.(4) "Insurer" means any entity that provides health insurance coverage in this State as defined in § 903 of this title. (5) "Maximum allowable cost" means the maximum amount that a pharmacy benefits manager will reimburse a pharmacist or pharmacy for the cost of a multi-sourced drug, medical product, or device.(6) "Maximum allowable cost list" means the multi-source generic drugs, medical products, and devices for which a maximum allowable cost has been established by a pharmacy benefits manager or a purchaser.(7) "Network providers" means those pharmacists and pharmacies who provide covered health-care services or supplies to an insured or a member pursuant to a contract with an insurer or pharmacy benefits manager.(8) "Pharmacist" means as defined under § 2502 of Title 24.(9) "Pharmacy" means as defined under § 2502 of Title 24.(10) "Pharmacy benefits management services" means as defined under § 3351A of this title.(11) "Pharmacy benefits manager" means as defined under § 3302A of this title.(12) "Purchaser" means as defined under § 3351A of this title.Amended by Laws 2019, ch. 115,s 1, eff. 6/1/2020.Added by Laws 2015, ch. 245,s 1, eff. 1/1/2017.