A. A pharmacy benefits manager shall not charge a pharmacy a fee related to the adjudication of a claim, including:

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Terms Used In New Mexico Statutes 59A-61-7

  • Contract: A legal written agreement that becomes binding when signed.

(1)     the receipt and processing of a pharmacy claim;

(2)     the development or management of a claim processing or adjudication network; or

(3)     participation in a claim processing or claim adjudication network.

B. A pharmacy benefits manager shall not charge a pharmacy a fee for a service unless the fee for service is itemized in the pharmacy benefits management contract.