(1) As used in this chapter, the following words have the meanings as defined in this section unless the context clearly indicates otherwise:(a) “Covered person” means a policyholder, subscriber, enrollee, member, or individual covered by a health insurance plan.(b) “Health insurance issuer” has the same meaning as defined in Section 41-149-3.(c) “Health insurance plan” has the same meaning as defined in Section 73-21-153.(d) “Participating provider” means a physician, hospital, pharmacy, pharmacist, dentist, nurse, chiropractor, optometrist, or other provider of health care services licensed or certified by the state, that has entered into an agreement with a health insurance issuer or pharmacy benefit manager to provide services, products, or supplies to a patient enrolled in a health insurance plan. “Participating provider” includes any clinic, hospital outpatient department, or pharmacy under the common ownership or control of the participating provider.(e) “Pharmacy benefit manager” has the same meaning as defined in Section 73-21-153.(f) “Physician-administered drug” means any prescription drug, other than a vaccine, that requires administration by a provider and is not approved as a self-administered drug.
(a) “Covered person” means a policyholder, subscriber, enrollee, member, or individual covered by a health insurance plan.
(b) “Health insurance issuer” has the same meaning as defined in Section 41-149-3.
(c) “Health insurance plan” has the same meaning as defined in Section 73-21-153.
(d) “Participating provider” means a physician, hospital, pharmacy, pharmacist, dentist, nurse, chiropractor, optometrist, or other provider of health care services licensed or certified by the state, that has entered into an agreement with a health insurance issuer or pharmacy benefit manager to provide services, products, or supplies to a patient enrolled in a health insurance plan. “Participating provider” includes any clinic, hospital outpatient department, or pharmacy under the common ownership or control of the participating provider.
(e) “Pharmacy benefit manager” has the same meaning as defined in Section 73-21-153.
(f) “Physician-administered drug” means any prescription drug, other than a vaccine, that requires administration by a provider and is not approved as a self-administered drug.