Iowa Code 510D.1 – Definitions
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Terms Used In Iowa Code 510D.1
- Contract: A legal written agreement that becomes binding when signed.
510D.1 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “”340B program”” means the program created pursuant to the Veterans Health Care Act
of 1992, Pub. L. No. 102-585, §602, and codified as section 340B of the federal Public Health
Services Act.
2. “”Commissioner”” means the commissioner of insurance.
3. “”Contract pharmacy”” means a pharmacy that has executed a contract with a covered
entity to dispense covered outpatient drugs, purchased by the covered entity through the 340B
program, to eligible patients of the covered entity.
4. “”Covered entity”” means the same as defined in 42 U.S.C. §256b(a)(4).
5. “”Group health plan”” means the same as defined in § 513B.2.
6. “”Medicaid managed care organization”” means an entity acting pursuant to a contract
with the department of health and human services to administer the medical assistance
program under chapter 249A, and that meets the definition of “”health maintenance
organization”” under § 514B.1.
7. “”Pharmacy benefits manager”” means the same as defined in § 510B.1.
8. “”Similarly situated entity or pharmacy”” means an entity or pharmacy located in
Iowa that is of a generally comparable size, and that operates in a market with similar
demographic characteristics, including population size, density, distribution, and vital
statistics, and reasonably similar economic and geographic conditions.
9. “”Third-party administrator”” means the same as defined in § 510.11.
2023 Acts, ch 43, §2
NEW section
As used in this chapter, unless the context otherwise requires:
1. “”340B program”” means the program created pursuant to the Veterans Health Care Act
of 1992, Pub. L. No. 102-585, §602, and codified as section 340B of the federal Public Health
Services Act.
2. “”Commissioner”” means the commissioner of insurance.
3. “”Contract pharmacy”” means a pharmacy that has executed a contract with a covered
entity to dispense covered outpatient drugs, purchased by the covered entity through the 340B
program, to eligible patients of the covered entity.
4. “”Covered entity”” means the same as defined in 42 U.S.C. §256b(a)(4).
5. “”Group health plan”” means the same as defined in § 513B.2.
6. “”Medicaid managed care organization”” means an entity acting pursuant to a contract
with the department of health and human services to administer the medical assistance
program under chapter 249A, and that meets the definition of “”health maintenance
organization”” under § 514B.1.
7. “”Pharmacy benefits manager”” means the same as defined in § 510B.1.
8. “”Similarly situated entity or pharmacy”” means an entity or pharmacy located in
Iowa that is of a generally comparable size, and that operates in a market with similar
demographic characteristics, including population size, density, distribution, and vital
statistics, and reasonably similar economic and geographic conditions.
9. “”Third-party administrator”” means the same as defined in § 510.11.
2023 Acts, ch 43, §2
NEW section
Sat Dec 23 00:42:35 2023 Iowa Code 2024, § 510D.1 (0, 0)