PHARMACY BENEFIT MANAGERS (PBMS)

Contracts and agreements

Managed care plans with state agencies, Minn. Rules 2737.0300

Maximum allowable cost pricing, Minn. Rules 2737.1400

Pharmacy audits, Minn. Rules 2737.1500

Retroactive adjustments, Minn. Rules 2737.1700

Definitions, Minn. Rules 2737.0100

Fees, Minn. Rules 2737.0400, 2737.0500

Government programs, Minn. Rules 2737.0300

Incentives, Minn. Rules 2737.1100

Licenses and licensing

Acting without a license, Minn. Rules 2737.0700

Appeals, Minn. Rules 2737.0600

Fees, Minn. Rules 2737.0400, 2737.0500

Initial application, Minn. Rules 2737.0400

Limited or restricted licenses, Minn. Rules 2737.0600

Renewal application, Minn. Rules 2737.0500

Review, Minn. Rules 2737.0600

Suspension, revocation, or probation, Minn. Rules 2737.0700

Temporary contingent approval, Minn. Rules 2737.0600

Networks of pharmacies

Adequacy of network

Generally, Minn. Rules 2737.0800

Reports, Minn. Rules 2737.0400, 2737.0500

Federal Drug Pricing Program, Minn. Rules 2737.1200

Networks with only owned pharmacies, Minn. Rules 2737.1100

Pharmacy audits, Minn. Rules 2737.1500

Pharmacy ownership interests

Defined, Minn. Rules 2737.0100

Generally, Minn. Rules 2737.1100

Plan sponsors

Exemptions, Minn. Rules 2737.0300

Transparency reports, Minn. Rules 2737.0900

Prescription drugs

Claims

Allowable amount, Minn. Rules 2737.1600

Retroactive adjustments, Minn. Rules 2737.1700

Maximum allowable cost pricing, Minn. Rules 2737.1400

Out-of-pocket cost comparisons, Minn. Rules 2737.1300

Quantity and refill limits, Minn. Rules 2737.1100

Therapeutic categories, Minn. Rules 2737.1000

Reports given

Network adequacy, Minn. Rules 2737.0400, 2737.0500

Transparency reports

Commissioner of commerce, Minn. Rules 2737.1000

Plan sponsors, Minn. Rules 2737.0900

Scope, Minn. Rules 2737.0200

Violations and penalties

Generally, Minn. Rules 2737.0700

Transparency, Minn. Rules 2737.0900, 2737.1000