South Carolina Statutes

§ 38-71-2235 — Pharmacy benefits managers must exercise good faith and fair dealing; phone number required; sharing information.

South Carolina·Title 38 INSURANCE·Ch. 71 ACCIDENT AND HEALTH INSURANCE
(A)A pharmacy benefits manager must perform its duties to a health benefit plan or health care insurer exercising good faith and fair dealing.
(B)A pharmacy benefits manager must provide during normal business hours a phone number through which a pharmacy or pharmacist can obtain answers within a reasonable time to questions regarding networks, patient benefits, appeals, and other contractual or service issues.
(C)A pharmacy benefits manager may not prohibit a pharmacy services administrative organization or pharmacy from sharing information directly with the department.

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South Carolina § 38-71-2235 (Pharmacy benefits managers must exercise good faith and fair dealing; phone number required; sharing information.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

HISTORY: 2023 Act No. 30 (S.520), SECTION 2, eff January 1, 2024. Editor's Note 2023 Act No. 30, SECTION 7, provides as follows: "SECTION 7. This act takes effect January 1, 2024, but the recurring examinations by the Department of Insurance provided for in Sections 38-71-2250(B)(1) and 38-71-2340(B)(1) must not begin before January 1, 2025."

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