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66 chapters · 1,628 sections in this title.
S.C. Code Ann. § 38-71-2235 Pharmacy benefits managers must exercise good faith and fair dealing; phone number required; sharing information
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(A) A pharmacy benefits manager must perform its duties to a health benefit plan or health care insurer exercising good faith and fair dealing. (B) A pharmacy benefits manager must provide during normal business hours a phone number through which a pharmacy or pharmacist can obta…
S.C. Code Ann. § 38-71-2240 Placement of drug on Maximum Allowable Cost List
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(A) Before a pharmacy benefits manager places or continues to place a particular drug on a Maximum Allowable Cost List, the drug must: (1) be listed as "A" or "B" rated in the most recent version of the Food and Drug Administration's Approved Drug Products with Therapeutic Equiva…
S.C. Code Ann. § 38-71-2245 Insured's selection of in-network pharmacy; participation of pharmacy or pharmacist in a network; role of pharmacy benefits manager
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(A)(1) A pharmacy benefits manager may neither limit an insured from selecting an in-network pharmacy or pharmacist of the insured's choice nor deny the right of a pharmacy or pharmacist to participate in a network if the pharmacy or pharmacist meets the requirements for network …
S.C. Code Ann. § 38-71-2250 Enforcement of article; penalties
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(A) The director shall enforce this article. (B)(1) As often as the director deems appropriate, but not less frequently than once every five years, the director may examine or audit the books and records of a pharmacy benefits manager providing claims processing services or other…
