§ 26.1-27.1-06 — Examination of insurer-covered entity

North Dakota § 26.1-27.1-06

• Jurisdiction: North Dakota
• Title 26.1: Insurance
• Ch. 26.1-27.1: Pharmacy Benefits Management

Text

1. During an examination of a covered entity as provided for in chapter 26.1-03, 26.1-17,
or 26.1-18.1, the commissioner shall examine any contract between the covered entity
and a pharmacy benefits manager and any related record to determine if the payment
received by the pharmacy benefits manager which the covered entity received has
been applied toward reducing the covered entity's rates or has been distributed to
covered individuals.
2. To facilitate the examination, the covered entity shall disclose annually to the
commissioner the benefits of the payment received by the pharmacy benefits manager
received under any contract and shall describe the manner in which the payment
received by the pharmacy benefits manager is applied toward reducing rates or is
distributed to covered individuals.
3. Any information disclosed to the commissioner under this section is considered a trade
secret under chapter 47-25.1. This section does not prevent the disclosure of a final
order issued against a pharmacy benefits manager. Such order is an open record.