Sec. 29. (a) At least every six (6) months, a pharmacy benefit manager shall provide a report to the department.

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Terms Used In Indiana Code 27-1-24.5-29

  • Department: means "the department of insurance" of this state. See Indiana Code 27-1-2-3
  • health plan: means the following:

    Indiana Code 27-1-24.5-5

  • pharmacy: means the physical location:

    Indiana Code 27-1-24.5-11

  • pharmacy benefit manager: means an entity that, on behalf of a health plan, state agency, insurer, managed care organization, or other third party payor:

    Indiana Code 27-1-24.5-12

     (b) A report under subsection (a) must include the:

(1) overall aggregate amount charged to a health plan for all pharmaceutical claims processed by the pharmacy benefit manager; and

(2) overall aggregate amount paid to pharmacies for claims processed by the pharmacy benefit manager.

     (c) Upon request, the department shall make a report received under subsection (a) available to the members of the general assembly in an electronic format under IC 5-14-6.

As added by P.L.166-2023, SEC.1.

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