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64 chapters · 1,789 sections in this title.
Va. Code Ann. § 38.2-3407.15:1 Carrier contracts with pharmacy providers; required provisions; limit on termination or nonrenewal
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A. As used in this section, unless the context requires a different meaning: "Audit" includes any audit conducted or authorized by a carrier or its intermediary to determine whether the participating pharmacy provider has complied with the terms and conditions for reimbursement u…
Va. Code Ann. § 38.2-3407.15:2 (Effective until January 1, 2027) Carrier contracts; required provisions regarding prior authorization
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A. As used in this section, unless the context requires a different meaning: "Carrier" has the same meaning ascribed thereto in subsection A of § 38.2-3407.15. "Prior authorization" means the approval process used by a carrier before certain drug benefits may be provided. "Provid…
Va. Code Ann. § 38.2-3407.15:3 Carrier and intermediary contracts with pharmacy providers; disclosure and updating of maximum allowable cost of drugs; limit on termination or nonrenewal
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A. As used in this section, unless the context requires a different meaning: "Carrier" has the same meaning ascribed thereto in subsection A of § 38.2-3407.15. "Maximum allowable cost" means the maximum dollar amount that a carrier or its intermediary will reimburse a pharmacy pr…
Va. Code Ann. § 38.2-3407.15:4 Limit on copayment for prescription drugs; permitted disclosures
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A. As used in this section: "Carrier" has the same meaning ascribed thereto in subsection A of § 38.2-3407.15. "Copayment" means an amount an enrollee is required to pay at the point of sale in order to receive a covered prescription drug. "Enrollee" means a policyholder, subscri…