Indiana § 27-1-24.2-14 Network requirements; annual report; review of a network; confidential
information and data

Indiana Statutes

§ 27-1-24.2-14 — Network requirements; annual report; review of a network; confidential information and data

Indiana § 27-1-24.2-14

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 24.2Pharmacy Benefits

This text of Indiana § 27-1-24.2-14 (Network requirements; annual report; review of a network; confidential information and data) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 27-1-24.2-14 (2026).

Text

Effective 1-1-2026. Sec. 14.

(a)An insurer, a pharmacy benefit manager, or any other administrator of pharmacy benefits that utilizes a network to provide pharmacy or pharmacist services under a health plan shall ensure that the network is reasonably adequate and accessible with respect to the provision of pharmacy or pharmacist services.

(b)A reasonably adequate and accessible network with respect to the provision of pharmacy or pharmacist services must, at a minimum:

(1)offer an adequate number of accessible pharmacies that are not mail order pharmacies; and

(2)provide convenient access to pharmacies that are not mail order pharmacies within a reasonable distance of not more than thirty (30) miles from each insured's residence, to the extent that pharmacy or pharmacist services are a

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Effective 1-1-2026.
Sec. 14. (a) An insurer, a pharmacy benefit
manager, or any other administrator of pharmacy benefits that utilizes
a network to provide pharmacy or pharmacist services under a health
plan shall ensure that the network is reasonably adequate and
accessible with respect to the provision of pharmacy or pharmacist
services.
(b) A reasonably adequate and accessible network with respect to
the provision of pharmacy or pharmacist services must, at a minimum:
(1) offer an adequate number of accessible pharmacies that are
not mail order pharmacies; and
(2) provide convenient access to pharmacies that are not mail
order pharmacies within a reasonable distance of not more than
thirty (30) miles from each insured's residence, to the extent that
pharmacy or pharmacist services are available.
(c) An insurer, a pharmacy benefit manager, and any other
administrator of pharmacy benefits shall file an annual report with the
commissioner in a manner and form prescribed by the commissioner.
The annual report must describe the networks of the insurer, pharmacy
benefit manager, or other administrator that are utilized for the
provision of pharmacy or pharmacist services under a health plan.
(d) The commissioner shall review each network reported under
subsection (c) to ensure that the network complies with this section.
(e) All information and data acquired by the department under this
section that is generally recognized as confidential or proprietary is
confidential for the purposes of IC 5-14-3-4 and may not be disclosed
by the department. However, the department may publicly disclose
aggregated information that is not descriptive of any readily
identifiable person or entity.