Registration of pharmacy benefits managers; scope of business practice.

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(a) A person may not conduct business in the state as a pharmacy benefits manager unless the person is registered with the director as a third-party administrator under AS 21.27.630.

(b) A pharmacy benefits manager registered under AS 21.27.630 may

(1) contract with an insurer to administer or manage pharmacy benefits provided by an insurer for a covered person, including claims processing services for and audits of payments for prescription drugs and medical devices and supplies;

(2) contract with network pharmacies;

(3) set the cost of multi-source generic drugs under AS 21.27.945; and

(4) adjudicate appeals related to multi-source generic drug reimbursement.


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