New Mexico Statutes Chapter 59A. Insurance Code § 59A-61-2. Definitions

A. “maximum allowable cost” means the maximum amount that a pharmacy benefits manager will reimburse a pharmacy for the cost of a generic drug;

B. “maximum allowable cost list” means a searchable, electronic and internet-based listing of drugs used by a pharmacy benefits manager setting the maximum allowable cost on which reimbursement to a pharmacy or pharmacist is made;

C. “obsolete” means a product that is listed in national drug pricing compendia but is no longer available to be dispensed based on the expiration date of the last lot manufactured;

D. “pharmacist” means an individual licensed as a pharmacist by the board of pharmacy;

E. “pharmacy” means a licensed place of business where drugs are compounded or dispensed and pharmacist services are provided;

F. “pharmacy benefits management” means a service provided to or conducted by a health plan as defined in Section 59A-16-21.1 NMSA 1978 or health insurer that involves:

G. “pharmacy benefits manager” means an entity that provides pharmacy benefits management services;

H. “pharmacy benefits manager affiliate” means a pharmacy or pharmacist that directly or indirectly, through one or more intermediaries, owns or controls, is owned or controlled by or is under common ownership or control with a pharmacy benefits manager;

I. “pharmacy services administrative organization” means an entity that contracts with a pharmacy or pharmacist to act as the pharmacy or pharmacist's agent with respect to matters involving a pharmacy benefits manager or third-party payor, including negotiating, executing or administering contracts with the pharmacy benefits manager or third-party payor; and

J. “superintendent” means the superintendent of insurance.