Wyoming § 26-52-102 Definitions

Wyoming Statutes

§ 26-52-102 — Definitions

Wyoming § 26-52-102

Title 26Insurance Code

Ch. 52PHARMACY BENEFIT MANAGERS AND PAYMENT OF PHARMACY

This text of Wyoming § 26-52-102 (Definitions) is published on Counsel Stack Legal Research, covering Wyoming primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Wyo. Stat. Ann. § 26-52-102 (2026).

Text

(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 partici

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(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.