Utah Code Title 31A. Insurance Code § 31A-46-102. Definitions

(1) “340B drug” means a drug purchased through the 340B drug discount program by a 340B entity.

(2) “340B drug discount program” means the 340B drug discount program described in 42 U.S.C. Sec. 256b.

(3) “340B entity” means:

(4) “Administrative fee” means any payment, other than a rebate, that a pharmaceutical manufacturer makes directly or indirectly to a pharmacy benefit manager.

(5) “Allowable claim amount” means the amount paid by an insurer under the customer’s health benefit plan.

(6) “Contracting insurer” means an insurer with whom a pharmacy benefit manager contracts to provide a pharmacy benefit management service.

(7) “Cost share” means the amount paid by an insured customer under the customer’s health benefit plan.

(8) “Device” means the same as that term is defined in Section 58-17b-102.

(9) “Direct or indirect remuneration” means any adjustment in the total compensation:

(10) “Dispense” means the same as that term is defined in Section 58-17b-102.

(11) “Drug” means the same as that term is defined in Section 58-17b-102.

(12) “Insurer” means the same as that term is defined in Section 31A-22-636.

(13) “Maximum allowable cost” means:

(14) “Medicaid program” means the same as that term is defined in Section 26B-3-101.

(15) “Obsolete” means a product that may be listed in national drug pricing compendia but is no longer available to be dispensed based on the expiration date of the last lot manufactured.

(16) “Patient counseling” means the same as that term is defined in Section 58-17b-102.

(17) “Pharmaceutical facility” means the same as that term is defined in Section 58-17b-102.

(18) “Pharmaceutical manufacturer” means a pharmaceutical facility that manufactures prescription drugs.

(19) “Pharmacist” means the same as that term is defined in Section 58-17b-102.

(20) “Pharmacy” means the same as that term is defined in Section 58-17b-102.

(21) “Pharmacy benefits management service” means any of the following services provided to a health benefit plan, or to a participant of a health benefit plan:

(22) “Pharmacy benefit manager” means a person licensed under this chapter to provide a pharmacy benefits management service.

(23) “Pharmacy service” means a product, good, or service provided to an individual by a pharmacy or pharmacist.

(24) “Pharmacy services administration organization” means an entity that contracts with a pharmacy to assist with third-party payer interactions and administrative services related to third-party payer interactions, including:

(25) “Pharmacy service entity” means:

(26) “Prescription device” means the same as that term is defined in Section 58-17b-102.

(27) “Prescription drug” means the same as that term is defined in Section 58-17b-102.

(30) “Retail pharmacy” means the same as that term is defined in Section 58-17b-102.

(31) “Sale” means a prescription drug or prescription device claim covered by a health benefit plan.

(32) “Wholesale acquisition cost” means the same as that term is defined in 42 U.S.C. Sec. 1395w-3a.