§ 26-52-102 — Definitions

(a) As used in this article:
(i) "Claim" means a request from a pharmacy or
pharmacist to be reimbursed for the cost of filling or refilling
a prescription for a drug or for providing a medical supply or
device;
(ii) "Insurer" means the entity defined in W.S. 26-1-
102(a)(xvi) and who provides health insurance coverage in this
state;
(iii) "List" means the list of drugs for which a
pharmacy benefit manager has established a maximum allowable
cost;
(iv) "Maximum allowable cost" means the maximum
amount that a pharmacy benefit manager will reimburse a
pharmacist or pharmacy for the cost of a generic drug;
(v) "Network providers" means those pharmacies that
provide covered health care services or supplies to an insured
or a member pursuant to a contract with a network plan to act as
a participating provider;
(vi) "Pharmacy" means an entity through which
pharmacists or other persons practice pharmacy as specified in
W.S. 33-24-124;
(vii) "Pharmacy benefit manager" means an entity that
contracts with a pharmacy or the pharmacy's designee who holds a
contract with the pharmacy benefit manager on behalf of an
insurer or third party administrator to administer or manage
prescription drug benefits;
(ix) "Pharmacy services" means any product, good or
service, or any combination of products, goods or services,
provided as part of the practice of pharmacy;
(x) "Pharmacy services administrative organization"
means an organization that evaluates and executes pharmacy
benefit manager contracts on behalf of pharmacies and provides
administrative, clerical, audit and data analytics support
services.