Indiana § 27-1-24.5-22.6 Filing complaints with department of insurance

Indiana Statutes

§ 27-1-24.5-22.6 — Filing complaints with department of insurance

Indiana § 27-1-24.5-22.6

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 24.5Pharmacy Benefit Managers

This text of Indiana § 27-1-24.5-22.6 (Filing complaints with department of insurance) 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 § 27-1-24.5-22.6 (2026).

Text

6.

(a)If a pharmacy benefit manager denies an appeal under section 22(a)(2) of this chapter, the appealing contracted pharmacy, pharmacy services administrative organization, or group purchasing organization may file a complaint with the department not later than thirty (30) days from the date of the denial. The department may request additional information from either party as necessary to resolve a complaint.

(b)If a contracted pharmacy or pharmacy services administrative organization believes that its contract with a pharmacy benefit manager contains an unlawful contractual provision regarding reimbursement rates, the contracted pharmacy or pharmacy services administrative organization may file a complaint with the department.

(c)A pharmacy benefit manager that receives written notic

Free access — add to your briefcase to read the full text and ask questions with AI

6. (a) If a pharmacy benefit manager
denies an appeal under section 22(a)(2) of this chapter, the appealing
contracted pharmacy, pharmacy services administrative organization,
or group purchasing organization may file a complaint with the
department not later than thirty (30) days from the date of the denial.
The department may request additional information from either party
as necessary to resolve a complaint.
(b) If a contracted pharmacy or pharmacy services administrative
organization believes that its contract with a pharmacy benefit manager
contains an unlawful contractual provision regarding reimbursement
rates, the contracted pharmacy or pharmacy services administrative
organization may file a complaint with the department.
(c) A pharmacy benefit manager that receives written notice of a
complaint filed under this section shall promptly conduct an
investigation of the matters alleged in the complaint. Not later than
twenty (20) business days after the date of the complaint, the pharmacy
benefit manager shall provide to the department and the complaining
party a written report containing the following information:
(1) The specific actions taken by the pharmacy benefit manager
with respect to:
(A) the appeal, for a complaint filed under subsection (a); or
(B) the contract, for a complaint filed under subsection (b).
(2) A good faith estimate of the time required for a resolution of
the complaint.
(d) If a pharmacy believes that its contract with a pharmacy services
administrative organization contains an unlawful contractual provision
regarding reimbursement rates, the pharmacy may file a complaint with
the department.
(e) The department shall establish a process for complaints filed
under this section.