Part Definitions

1. Law
2. Tennessee Code
3. Insurance
4. Policies and Policyholders
5. Pharmacy Benefits
6. Part Definitions

As used in this part, unless the context otherwise requires:

1. “Actual reimbursement” means the total amount that a covered entity or pharmacy benefits manager determines that a pharmacy or other dispenser will receive consistent with the provider agreement, and is the sum of the amount the covered entity or pharmacy benefits manager will pay directly to the pharmacy or other dispenser plus any applicable patient out-of-pocket cost paid directly by the patient to the pharmacy or other dispenser, for dispensing of a particular prescription or providing a covered service;
2. “Covered entity” means a covered entity as defined in § 56-7-3102; and
3. “Pharmacy benefits manager” means a pharmacy benefits manager as defined in § 56-7-3102.

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