§ 735.530 Definitions for ORS 735.530 to 735.552
§ 735.532 Registration of pharmacy benefit managers; fees; rules
§ 735.533 Denial, suspension or revocation of registration as pharmacy benefit manager; basis; complaint; rules
§ 735.534 Claim reimbursement; maximum allowable costs; documentation; rules
§ 735.536 Requirements for pharmacy benefit managers reimbursement for cost of drugs; rules
§ 735.537 Reports to department regarding payments received from manufacturers and disposition of payments from manufacturers
§ 735.540 Definitions for ORS 735.540 to 735.552
§ 735.542 Pharmacy claims audits; requirements
§ 735.544 Pharmacy claims audits; standards for review of claims
§ 735.546 Pharmacy claims audits; auditors
§ 735.548 Pharmacy claims audits; validation of claims
§ 735.550 Pharmacy claims audits; reports of findings; opportunity to resubmit claim and to contest finding
§ 735.552 Pharmacy claims audits; exception for fraud
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Terms Used In Oregon Statutes > Chapter 735 > Pharmacy Benefit Managers

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Person: includes individuals, corporations, associations, firms, partnerships, limited liability companies and joint stock companies. See Oregon Statutes 174.100
  • United States: includes territories, outlying possessions and the District of Columbia. See Oregon Statutes 174.100