Utah § 31A-46-301 Reporting requirements.

Utah Statutes

§ 31A-46-301 — Reporting requirements.

Utah § 31A-46-301

Title 31AInsurance Code

Ch. 31A-46Pharmacy Benefits Act

Part 31A-46-3Operating Requirements

This text of Utah § 31A-46-301 (Reporting requirements.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-46-301 (2026).

Text

(1)Before April 1 of each year, a pharmacy benefit manager operating in the state shall report to the department, for the previous calendar year:

(1)(a) any insurer, pharmacy, or pharmacist in the state with which the pharmacy benefit manager had a contract;

(1)(b) the total value, in the aggregate, of all rebates and administrative fees that are attributable to enrollees of a contracting insurer; and

(1)(c) if applicable, the percentage of aggregate rebates that the pharmacy benefit manager retained under the pharmacy benefit manager's agreement to provide pharmacy benefits management services to a contracting insurer.

(2)Records submitted to the commissioner under Subsections (1)(b) and (c) are a protected record under Title 63G, Chapter 2, Government Records Access and Management Act

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(1) Before April 1 of each year, a pharmacy benefit manager operating in the state shall report to the department, for the previous calendar year:

(1)(a) any insurer, pharmacy, or pharmacist in the state with which the pharmacy benefit manager had a contract;
(1)(b) the total value, in the aggregate, of all rebates and administrative fees that are attributable to enrollees of a contracting insurer; and
(1)(c) if applicable, the percentage of aggregate rebates that the pharmacy benefit manager retained under the pharmacy benefit manager's agreement to provide pharmacy benefits management services to a contracting insurer.
(2) Records submitted to the commissioner under Subsections (1)(b) and (c) are a protected record under Title 63G, Chapter 2, Government Records Access and Management Act.
(3) (3)(a) The department shall publish the information provided by a pharmacy benefit manager under Subsection (1)(c) in the annual report described in Section 31A-2-201.2.
(3)(b) The department may not publish information submitted under Subsection (1)(b) or (c) in a manner that:
(3)(b)(i) makes a specific submission from a contracting insurer or pharmacy benefit manager identifiable; or
(3)(b)(ii) is likely to disclose information that is a trade secret as defined in Section 13-24-2.
(3)(c) At least 30 days before the day on which the department publishes the data, the department shall provide a pharmacy benefit manager that submitted data under Subsection (1)(b) or (c) with:
(3)(c)(i) a general description of the data that will be published by the department;
(3)(c)(ii) an opportunity to submit to the department, within a reasonable period of time and in a manner established by the department by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act:

(3)(c)(ii)(A) any correction of errors, with supporting evidence and comments; and
(3)(c)(ii)(B) information that demonstrates that the publication of the data will violate Subsection (3)(b), with supporting evidence and comments.