PHARMACY BENEFIT MANAGERS (PBMS)

Conflicts of interest, notice, Minn. Statutes 2022 62W.04

Contracts and agreements

Audit terms, charges or assessments, amendments, disclosure, Minn. Statutes 2022 62W.09

Exclusive contracts, drug manufacturers, disclosure, Minn. Statutes 2022 62W.06

Gag clauses, prohibited, Minn. Statutes 2022 62W.11

Good faith and fair dealing, Minn. Statutes 2022 62W.04

Mail order pharmacies, specialty drugs, prompt filling, emergency supply, Minn. Statutes 2022 62W.14

Managed care plans with state agencies, Minn. Rules 2737.0300

Maximum allowable cost pricing, Minn. Rules 2737.1400

Maximum allowable cost pricing, dispute resolution, appeals, Minn. Statutes 2022 62W.08

Nondisclosure agreements, Minn. Statutes 2022 62W.06

Pharmacy audits, Minn. Rules 2737.1500

Retroactive adjustments, Minn. Rules 2737.1700

State Employees Group Insurance Program (SEGIP), Minn. Statutes 2022 43A.231

Synchronization, prescription drug refills, Minn. Statutes 2022 62W.10

Definitions, Minn. Statutes 2022 62W.02, 62W.09, 62W.10, Minn. Rules 2737.0100

Disclosure

Audit terms, amendments, claims audited, Minn. Statutes 2022 62W.09

Exclusive contracts, Minn. Statutes 2022 62W.06

Maximum allowable cost pricing, Minn. Statutes 2022 62W.08

Nondisclosure agreements, Minn. Statutes 2022 62W.06

Pharmacy ownership interests, Minn. Statutes 2022 62W.07

Preferred networks, out-of-pocket costs, Minn. Statutes 2022 62W.077

Prescription drug cost transparency, confidentiality, penalties, Minn. Statutes 2022 62W.06

Specialty pharmacies, out-of-pocket costs, Minn. Statutes 2022 62W.076

Fees, Minn. Rules 2737.0400, 2737.0500

Government programs, Minn. Rules 2737.0300

Health care taxes, Minn. Statutes 2022 295.50

Incentives, Minn. Rules 2737.1100

Licenses and licensing

Acting without a license, Minn. Rules 2737.0700

Appeals, Minn. Rules 2737.0600

Fees, Minn. Rules 2737.0400, 2737.0500

Generally, Minn. Statutes 2022 62W.03

Initial application, Minn. Rules 2737.0400

Limited or restricted licenses, Minn. Rules 2737.0600

Network adequacy reports required with applications and renewals, Minn. Statutes 2022 62W.05

Renewal application, Minn. Rules 2737.0500

Review, Minn. Rules 2737.0600

Suspension, revocation, or probation, Minn. Rules 2737.0700

Temporary contingent approval, Minn. Rules 2737.0600

Networks of pharmacies

Accreditation standards, Minn. Statutes 2022 62W.05

Adequacy of network

Generally, Minn. Rules 2737.0800

Reports, Minn. Rules 2737.0400, 2737.0500

Adequacy requirements, waivers, reports, mail order pharmacies excluded, Minn. Statutes 2022 62W.05

Federal Drug Pricing Program, Minn. Rules 2737.1200

Federal Drug Pricing Program entities, participation, reimbursement, Minn. Statutes 2022 62W.07

Networks with only owned pharmacies, Minn. Rules 2737.1100

Preferred networks, out-of-pocket costs, disclosure, Minn. Statutes 2022 62W.077

Pharmacy audits, Minn. Rules 2737.1500

Pharmacy audits, duties regarding, Minn. Statutes 2022 62W.09

Pharmacy ownership interests

Defined, Minn. Rules 2737.0100

Generally, Minn. Rules 2737.1100

Pharmacy ownership interests, disclosure, enrollee incentives and penalties prohibited, Minn. Statutes 2022 62W.07

Plan sponsors

Exemptions, Minn. Rules 2737.0300

Transparency reports, Minn. Rules 2737.0900

Prescription drugs

Claims

Allowable amount, Minn. Rules 2737.1600

Retroactive adjustments, Minn. Rules 2737.1700

Claims, retroactive adjustments, Minn. Statutes 2022 62W.13

Cost transparency, disclosure, confidentiality, penalties, Minn. Statutes 2022 62W.06

Delayed or divided payments prohibited, Minn. Statutes 2022 62Q.81

Disclosure of risks, alternatives, costs, Minn. Statutes 2022 62W.11

Maximum allowable cost pricing, Minn. Rules 2737.1400

Maximum allowable cost pricing, disclosure, dispute resolution, appeals, Minn. Statutes 2022 62W.08

Out-of-pocket cost comparisons, Minn. Rules 2737.1300

Point of sale payments, limits, Minn. Statutes 2022 62W.12

Price comparisons, technology platform, Minn. Statutes 2022 43A.231

Quantity and refill limits, Minn. Rules 2737.1100

Rebates and fees, calculation, Minn. Statutes 2022 62W.06

Specialty drugs, prompt filling, mail order pharmacies, emergency supply, Minn. Statutes 2022 62W.14

Substitutions, approval, Minn. Statutes 2022 62W.075

Synchronization, cost-sharing rate, dispensing fees, Minn. Statutes 2022 62W.10

Therapeutic categories, Minn. Rules 2737.1000

Reports given

Network adequacy, Minn. Rules 2737.0400, 2737.0500

Pharmacy audits, Minn. Statutes 2022 62W.09

Transparency report, Commerce Department, Minn. Statutes 2022 62W.06

Transparency reports

Commissioner of commerce, Minn. Rules 2737.1000

Plan sponsors, Minn. Rules 2737.0900

Scope, Minn. Rules 2737.0200

Specialty pharmacies, out-of-pocket costs, disclosure, Minn. Statutes 2022 62W.076

Therapeutic alternative drugs, substitution, approval, Minn. Statutes 2022 62W.075

Violations and penalties

Generally, Minn. Rules 2737.0700

Transparency, Minn. Rules 2737.0900, 2737.1000