Arizona § 20-3331 Pharmacy benefit managers; requirements; applicability

Arizona Statutes

§ 20-3331 — Pharmacy benefit managers; requirements; applicability

Arizona·Title 20 Arizona Revised Statutes·Ch. 25 PHARMACY BENEFITS·Art. 2 Pharmacy Benefit Managers

A.A pharmacy benefit manager shall do all of the following:

1.Update the price and drug information for each list that the pharmacy benefit manager maintains every seven business days.

2.At the beginning of the term of a contract, on renewal of a contract and at least once annually during the term of a contract, make available to each network pharmacy the sources used to determine maximum allowable cost pricing.

3.Establish a process by which a network pharmacy may appeal its reimbursement for a drug subject to maximum allowable cost pricing.

4.Allow a pharmacy services administrative organization that is contracted with the pharmacy benefit manager to file an appeal of a drug on behalf of the organization's contracted pharmacies.

B.Beginning on January 1, 2020, this section app

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A. A pharmacy benefit manager shall do all of the following:

1. Update the price and drug information for each list that the pharmacy benefit manager maintains every seven business days.

2. At the beginning of the term of a contract, on renewal of a contract and at least once annually during the term of a contract, make available to each network pharmacy the sources used to determine maximum allowable cost pricing.

3. Establish a process by which a network pharmacy may appeal its reimbursement for a drug subject to maximum allowable cost pricing.

4. Allow a pharmacy services administrative organization that is contracted with the pharmacy benefit manager to file an appeal of a drug on behalf of the organization's contracted pharmacies.

B. Beginning on January 1, 2020, this section applies to all new and existing contracts between a pharmacy benefit manager and a licensed pharmacy.

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