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      RS 40:2863     

  

§2863. Definitions

            As used in this Chapter, the following definitions shall apply:

            (1) "Attorney general" means the Louisiana attorney general.

            (2) "Beneficiary" means a person who resides or is employed in this state and is covered or is eligible to be covered by a health plan.

            (3) "Board of Pharmacy" means the Louisiana Board of Pharmacy.

            (4) "Commissioner of insurance" means the Louisiana commissioner of insurance.

            (5) "Department of Insurance" means the Louisiana Department of Insurance.

            (6) "Department of Justice" means the Louisiana Department of Justice.

            (7) "Health plan" means an individual or group plan or program which is established by contract, certificate, law, plan, policy, subscriber agreement, or by any other method and which is entered into, issued, or offered for the purpose of arranging for, delivering, paying for, providing, or reimbursing any of the costs of health or medical care, including pharmacy services, drugs, or devices.

            (8) "Pharmacy benefit management plan" and "pharmacy benefits program" mean a plan or program that pays for, reimburses, covers the cost of, or otherwise provides for pharmacist services, drugs, or devices to individuals who reside in or are employed in Louisiana.

            (9) "Pharmacy benefit manager" and "PBM" mean any person or business who administers the prescription drug or device program of one or more health plans on behalf of a third party in accordance with a pharmacy benefit program. This term includes any agent or representative of a pharmacy benefit manager hired or contracted by the pharmacy benefit manager to assist in the administering of the drug program and any wholly or partially owned or controlled subsidiary of a pharmacy benefit manager.

            Acts 2019, No. 124, §3, eff. July 1, 2020.



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