Scope of act

Act 169 of 2016, § 102, under PHARMACY AUDIT INTEGRITY AND TRANSPARENCY ACT - ENACTMENT.

Act 169 of 2016, § 102

Section 102. Scope of act.

The following apply:

(1) This act covers any audit of the records of a pharmacy conducted by a managed care company, third-party payer, pharmacy benefits manager or an entity that represents a covered entity.

(2) This act covers any contract between a pharmacy or a PBM and a health insurer or a health benefit plan, or a contract between a pharmacy and a PBM on behalf of a health insurer or health benefit plan.

(3) Except for the provisions of Chapter 5, this act shall not apply to a self-insured health benefit plan subject to ERISA or exempted from ERISA under section 4(b) of ERISA.

(102 amended July 17, 2024, P.L.852, No.77)