131 chapters · 1,085 sections in this title.
18 V.S.A. ch. 077, § 3621 Insurer audit of pharmacy benefit manager activities
1.2K chars
§ 3621. Insurer audit of pharmacy benefit manager activities In order to enable periodic verification of pricing arrangements in administrative-services-only contracts, pharmacy benefit managers shall allow access, in accordance with rules adopted by the Commissioner, by the heal…
18 V.S.A. ch. 077, § 3622 Pharmacy benefit managers; required practices with respect to health insurers
5.5K chars
§ 3622. Pharmacy benefit managers; required practices with respect to health insurers (a) A pharmacy benefit manager that provides pharmacy benefit management for a health benefit plan has a fiduciary duty to its health insurer client that includes a duty to be fair and truthful …
18 V.S.A. ch. 077, § 3631 Pharmacy benefit managers; required practices with respect to pharmacies
5.2K chars
§ 3631. Pharmacy benefit managers; required practices with respect to pharmacies (a) Within 14 calendar days following receipt of a pharmacy claim, a pharmacy benefit manager or other entity paying pharmacy claims shall do one of the following: (1) Pay or reimburse the claim. (2)…
18 V.S.A. ch. 079, § 3801 Definitions
2.5K chars
§ 3801. Definitions As used in this subchapter: (1)(A) “Health insurer” shall have the same meaning as in section 9402 of this title and shall include: (i) a health insurance company, a nonprofit hospital and medical service corporation, and health maintenance organizations; (ii)…