Wyoming Statutes Title 26. Insurance Code § 26-52-102. Definitions

(i) “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 device;

(ii) “Insurer” means the entity defined in W.S. 26-1-102(a)(xvi) and who provides health insurance coverage in this state;

(iii) “List” means the list of drugs for which a pharmacy benefit manager has established a maximum allowable cost;

(iv) “Maximum allowable cost” means the maximum amount that a pharmacy benefit manager will reimburse a pharmacist or pharmacy for the cost of a generic drug;

(v) “Network providers” means those pharmacies that provide covered health care services or supplies to an insured or a member pursuant to a contract with a network plan to act as a participating provider;

(vi) “Pharmacy” means an entity through which pharmacists or other persons practice pharmacy as specified in W.S. 33-24-124;

(vii) “Pharmacy benefit manager” means an entity that contracts with a pharmacy or the pharmacy's designee who holds a contract with the pharmacy benefit manager on behalf of an insurer or third party administrator to administer or manage prescription drug benefits;.

(viii) [Vetoed by Governor March 17, 2023.]

(ix) “Pharmacy services” means any product, good or service, or any combination of products, goods or services, provided as part of the practice of pharmacy;

(x) “Pharmacy services administrative organization” means an organization that evaluates and executes pharmacy benefit manager contracts on behalf of pharmacies and provides administrative, clerical, audit and data analytics support services;

(xi) [Vetoed by Governor March 17, 2023.]

(xii) [Vetoed by Governor March 17, 2023.]