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Oregon Revised Statutes Insurance § 735.530

Current as of January 01, 2023 | Updated by FindLaw Staff

As used in ORS 735.530 to 735.552:

(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 service.

(2) “Insurer” has the meaning given that term in ORS 731.106.

(3) “Pharmacist” has the meaning given that term in ORS 689.005.

(4) “Pharmacy” has the meaning given that term in ORS 689.005.

(5)(a) “Pharmacy benefit manager” means a person that contracts with pharmacies on behalf of an insurer, a third party administrator or the Oregon Prescription Drug Program established in ORS 414.312 to:

(A) Process claims for prescription drugs or medical supplies or provide retail network management for pharmacies or pharmacists;

(B) Pay pharmacies or pharmacists for prescription drugs or medical supplies; or

(C) Negotiate rebates with manufacturers for drugs paid for or procured as described in this paragraph.

(b) “Pharmacy benefit manager” does not include a health care service contractor as defined in ORS 750.005.

(6) “Third party administrator” means a person licensed under ORS 744.702.

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Cite this article: FindLaw.com - Oregon Revised Statutes Insurance § 735.530 - last updated January 01, 2023 | https://codes.findlaw.com/or/title-56-insurance/or-rev-st-sect-735-530/

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