Georgia Commons

Title 33. INSURANCE

Chapter 64. REGULATION AND LICENSURE OF PHARMACY BENEFITS MANAGERS

14 sections · 33-64-1 to 33-64-13

  1. 33-64-1Definitions.
  2. 33-64-2License requirements and filing fees.
  3. 33-64-3Requirements and procedures affecting pharmacy benefits managers; surety bond.
  4. 33-64-4Pharmacy benefits manager shall not engage in the practice of medicine; recommended use of licensed physician.
  5. 33-64-5Audit requirements applicable to pharmacy benefits managers.
  6. 33-64-6Pharmacy benefits manager shall not have to be licensed as an administrator.
  7. 33-64-7Commissioner’s authority over rules and regulations.
  8. 33-64-8Electronic prior authorization drug requests with health care providers.
  9. 33-64-9Requirements for use of maximum allowable cost pricing by pharmacy benefits managers; appeals; enforcement authority.
  10. 33-64-9.1Reimbursement methodologies utilized by pharmacy benefits managers.
  11. 33-64-10Administration of claims by pharmacy benefits manager.2 versions
  12. 33-64-11Prohibited activities of pharmacy benefits manager.
  13. 33-64-12Legislative findings; surcharges and reporting on steering or imposing point-of-sale fees or retroactive fees.
  14. 33-64-13Federal law governs.