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Delaware Code Title 18. Insurance Code § 3361A. Definitions

Current as of January 01, 2022 | Updated by FindLaw Staff

For purposes of this subchapter:

(1) “Claim” means as defined under § 3321A of this title.

(2) “Insured” means an individual covered by health insurance offered by an insurer.

(3) “Insurer” means as defined under § 3321A of this title.

(4) “Pharmacist” means as defined under § 2502 of Title 24.

(5) “Pharmacy” means as defined under § 2502 of Title 24.

(6) “Pharmacy benefits manager” means as defined under § 3302A of this title.

(7) “Pharmacy benefits manager network” means a network of pharmacists or pharmacies that are offered by an agreement or contract to provide pharmacy goods or services.

(8) “Pharmacy goods or services” means as defined under § 3325A of this title.

(9) a. “Rebate” means a discount or other price concession, or a payment that is both of the following:

1. Based on utilization of a prescription drug.

2. Paid by a manufacturer or third party, directly or indirectly, to the pharmacy benefits manager, pharmacy services administrative organization, or pharmacy after a claim has been processed and paid at a pharmacy.

b. “Rebate” includes incentives, disbursements, and reasonable estimates of a volume-based or category-based discount.

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Cite this article: FindLaw.com - Delaware Code Title 18. Insurance Code § 3361A. Definitions - last updated January 01, 2022 | https://codes.findlaw.com/de/title-18-insurance-code/de-code-sect-18-3361a/

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