Ind. Code § 27-1-24.5-11.5
This is the official text of Ind. Code § 27-1-24.5-11.5, part of Indiana’s Code — part of the compiled statutory law of Indiana, published by the state as "Code." Browse the sections below, each linked to its official government source.
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"Pharmacy benefit management services"
Official statutory text
Sec. 11.5. As used in this chapter, "pharmacy benefit management services" means:
(1) negotiating the price of prescription drugs, including negotiating and contracting for direct or indirect rebates, discounts, or other price concessions;
(2) managing any aspect of a prescription drug benefit, including:
(A) the processing and payment of claims for prescription drugs;
(B) arranging alternative access to or funding for prescription drugs;
(C) the performance of drug utilization review;
(D) the processing of drug prior authorization requests;
(E) the adjudication of appeals or grievances related to the prescription drug benefit;
(F) contracting with network pharmacies;
(G) controlling the cost of covered prescription drugs;
(H) managing or providing data relating to the prescription drug benefit;
(I) the provision of services related to the prescription drug benefit; or
(J) creating or updating prescription drug formularies;
(3) the performance of any administrative, managerial, clinical, pricing, financial, reimbursement, data administration or reporting, or billing service; and
(4) any other services specified in a rule adopted by the department.
As added by P.L.237-2025, SEC.5.
(1) negotiating the price of prescription drugs, including negotiating and contracting for direct or indirect rebates, discounts, or other price concessions;
(2) managing any aspect of a prescription drug benefit, including:
(A) the processing and payment of claims for prescription drugs;
(B) arranging alternative access to or funding for prescription drugs;
(C) the performance of drug utilization review;
(D) the processing of drug prior authorization requests;
(E) the adjudication of appeals or grievances related to the prescription drug benefit;
(F) contracting with network pharmacies;
(G) controlling the cost of covered prescription drugs;
(H) managing or providing data relating to the prescription drug benefit;
(I) the provision of services related to the prescription drug benefit; or
(J) creating or updating prescription drug formularies;
(3) the performance of any administrative, managerial, clinical, pricing, financial, reimbursement, data administration or reporting, or billing service; and
(4) any other services specified in a rule adopted by the department.
As added by P.L.237-2025, SEC.5.
Status: in_force · Read it on the official government site
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