§ 40:2863 — Definitions

Louisiana § 40:2863

• Jurisdiction: Louisiana
• Title 40: Public Health and Safety

Text

§2863. Definitions
As used in this Chapter, the following definitions shall apply:
(1) "Attorney general" means the Louisiana attorney general.
(2) "Beneficiary" means a person who resides or is employed in this state and is
covered or is eligible to be covered by a health plan.
(3) "Board of Pharmacy" means the Louisiana Board of Pharmacy.
(4) "Commissioner of insurance" means the Louisiana commissioner of insurance.
(5) "Department of Insurance" means the Louisiana Department of Insurance.
(6) "Department of Justice" means the Louisiana Department of Justice.
(7) "Health plan" means an individual or group plan or program which is established
by contract, certificate, law, plan, policy, subscriber agreement, or by any other method and
which is entered into, issued, or offered for the purpose of arranging for, delivering, paying
for, providing, or reimbursing any of the costs of health or medical care, including pharmacy
services, drugs, or devices.
(8) "Pharmacy benefit management plan" and "pharmacy benefits program" mean
a plan or program that pays for, reimburses, covers the cost of, or otherwise provides for
pharmacist services, drugs, or devices to individuals who reside in or are employed in
Louisiana.
(9) "Pharmacy benefit manager" and "PBM" mean any person or business who
administers the prescription drug or device program of one or more health plans on behalf
of a third party in accordance with a pharmacy benefit program. This term includes any
agent or representative of a pharmacy benefit manager hired or contracted by the pharmacy
benefit manager to assist in the administering of the drug program and any wholly or partially
owned or controlled subsidiary of a pharmacy benefit manager.

Legislative History

Acts 2019, No. 124, §3, eff. July 1, 2020.