5 chapters · 378 sections in this title.
O.C.G.A. § 26-4-142 Definitions
2.1K chars
As used in this article, the term: (1) “Administrator” means that person, corporation, or business entity which administers a program, is legally liable for any payments to a participating pharmacy under a program, or both. (2) “Commissioner” means the Commissioner of Insurance. …
O.C.G.A. § 26-4-143 Approval of program by Commissioner; exemptions
1.9K chars
(a) Unless the program is exempt under subsection (b) of this Code section, no administrator, person, corporation, or business entity shall offer, operate, or administer a program in this state unless that program has been submitted to the Commissioner, in a manner provided by th…
O.C.G.A. § 26-4-144 Claim reimbursements to participating pharmacies
3.5K chars
(a) A program offered in this state and not exempt under subsection (b) of Code Section 26-4-143 shall provide all of the following: (1) A statement of the method, frequency, and amount of claim reimbursement to participating pharmacies; (2) That any valid claim for pharmaceutica…
O.C.G.A. § 26-4-145 Excessive charges to enrollees prohibited
0.3K chars
A participating pharmacy shall not submit claims for payment for pharmaceuticals under a program for charges in excess of those charged by that pharmacy to consumers, other than enrollees, for the same or similar pharmaceuticals. History. Code 1981, § 26-4-145, enacted by Ga. L. …