Terms Used In Utah Code > Title 67 > Chapter 24 - Lobbying Restrictions Act

• Allowable claim amount: means the amount paid by an insurer under the customer's health benefit plan. See Utah Code 31A-46-102
• Cost share: means the amount paid by an insured customer under the customer's health benefit plan. See Utah Code 31A-46-102
• Device: means the same as that term is defined in Section 58-17b-102. See Utah Code 31A-46-102
• Direct or indirect remuneration: means any adjustment in the total compensation:
       (9)(a) received by a pharmacy from a pharmacy benefit manager for the sale of a drug, device, or other product or service; and
       (9)(b) that is determined after the sale of the product or service. See Utah Code 31A-46-102
• Drug: means the same as that term is defined in Section 58-17b-102. See Utah Code 31A-46-102
• Form: means one of the following prepared for general use:
            (74)(a)(i) a policy;
            (74)(a)(ii) a certificate;
            (74)(a)(iii) an application;
            (74)(a)(iv) an outline of coverage; or
            (74)(a)(v) an endorsement. See Utah Code 31A-1-301
• Insured: means a person to whom or for whose benefit an insurer makes a promise in an insurance policy and includes:
            (103)(a)(i) a policyholder;
            (103)(a)(ii) a subscriber;
            (103)(a)(iii) a member; and
            (103)(a)(iv) a beneficiary. See Utah Code 31A-1-301
• Insurer: means the same as that term is defined in Section 31A-22-636. See Utah Code 31A-46-102
• Lobbying: is a s defined in Section 36-11-102. See Utah Code 67-24-102
• Lobbyist: is a s defined in Section 36-11-102. See Utah Code 67-24-102
• Maximum allowable cost: means :
       (13)(a) a maximum reimbursement amount for a group of pharmaceutically and therapeutically equivalent drugs; or
       (13)(b) any similar reimbursement amount that is used by a pharmacy benefit manager to reimburse pharmacies for multiple source drugs. See Utah Code 31A-46-102
• Medicaid program: means the same as that term is defined in Section 26B-3-101. See Utah Code 31A-46-102
• Obsolete: means a product that may be listed in national drug pricing compendia but is no longer available to be dispensed based on the expiration date of the last lot manufactured. See Utah Code 31A-46-102
• Pharmacist: means the same as that term is defined in Section 58-17b-102. See Utah Code 31A-46-102
• Pharmacy: means the same as that term is defined in Section 58-17b-102. See Utah Code 31A-46-102
• Pharmacy benefit manager: means a person licensed under this chapter to provide a pharmacy benefits management service. See Utah Code 31A-46-102
• Pharmacy service: means a product, good, or service provided to an individual by a pharmacy or pharmacist. See Utah Code 31A-46-102
• Pharmacy service entity: means :
       (25)(a) a pharmacy services administration organization; or
       (25)(b) a pharmacy benefit manager. See Utah Code 31A-46-102
• Prescription device: means the same as that term is defined in Section 58-17b-102. See Utah Code 31A-46-102
• Prescription drug: means the same as that term is defined in Section 58-17b-102. See Utah Code 31A-46-102
• Reimbursement report: means a report on the adjustment in total compensation for a claim. See Utah Code 31A-46-102
• Sale: means a prescription drug or prescription device claim covered by a health benefit plan. See Utah Code 31A-46-102
• State official: means :
       (3)(a) a member of the Legislature;
       (3)(b) the governor;
       (3)(c) the lieutenant governor;
       (3)(d) the state auditor;
       (3)(e) the state treasurer; and
       (3)(f) the attorney general. See Utah Code 67-24-102