116 chapters · 1,704 sections in this title.
RSA 402-N:1 Definitions
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In this chapter: I. "Claims processing services" means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include: (a) Receiving payments for pharmacist services. (b) Making payments to pharmacis…
RSA 402-N:2 Registration to do Business; Rulemaking; Penalties
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I. A person or organization shall not establish or operate as a pharmacy benefits manager in this state for health benefit plans without registering with the insurance commissioner under this chapter. II. The commissioner shall adopt rules pursuant to RSA 541-A relative to: (a) P…
RSA 402-N:2-a Written Agreement
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I. No pharmacy benefits manager shall act as such without a written agreement between the pharmacy benefits manager and the health carrier. The written agreement shall be retained as part of the official records of both the health carrier and the pharmacy benefits manager for the…
RSA 402-N:3 Provider Contract Standards for Pharmacy Benefit Managers
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I. All contracts between a carrier or pharmacy benefit manager and a contracted pharmacy shall include: (a) The sources used by the pharmacy benefit manager to calculate the drug product reimbursement paid for covered drugs available under the pharmacy health benefit plan adminis…