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Current as of January 01, 2025 | Updated by Findlaw Staff
A. A pharmacy benefit manager shall do all of the following:
1. Update the price and drug information for each list that the pharmacy benefit manager maintains every seven business days.
2. At the beginning of the term of a contract, on renewal of a contract and at least once annually during the term of a contract, make available to each network pharmacy the sources used to determine maximum allowable cost pricing.
3. Establish a process by which a network pharmacy may appeal its reimbursement for a drug subject to maximum allowable cost pricing.
4. Allow a pharmacy services administrative organization that is contracted with the pharmacy benefit manager to file an appeal of a drug on behalf of the organization's contracted pharmacies.
B. Beginning on January 1, 2020, this section applies to all new and existing contracts between a pharmacy benefit manager and a licensed pharmacy.
Cite this article: FindLaw.com - Arizona Revised Statutes Title 20. Insurance § 20-3331. Pharmacy benefit managers; requirements; applicability - last updated January 01, 2025 | https://codes.findlaw.com/az/title-20-insurance/az-rev-st-sect-20-3331/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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