House Journal: Page 950: Wednesday, April 2, 2003
41 situation in which, based upon the financial
42 information required by this chapter for the
43 preparation of a pharmacy benefits manager's annual
44 statement, the assets of the pharmacy benefits manager
45 are less than the sum of all the company's liabilities
46 and required reserves.
47 7. "Maintenance drug" means a drug prescribed by a
48 practitioner who is licensed to prescribe drugs and
49 used to treat a medical condition for a period of more
50 than thirty days.
Page 2
1 8. "Multisource drug" means a drug that is stocked
2 and is available from three or more suppliers.
3 9. "Pharmacist" means pharmacist as defined in
4 section 155A.3.
5 10. "Pharmacists' services" include drug therapy
6 and other patient care services provided by a licensed
7 pharmacist intended to achieve outcomes related to the
8 cure or prevention of a disease, elimination or
9 reduction of a patient's symptoms, or arresting or
10 slowing of a disease process as defined by rule of the
11 board.
12 11. "Pharmacy" means pharmacy as defined in
13 section 155A.3.
14 12. "Pharmacy benefits management plan" means an
15 arrangement for the delivery of prescription services
16 in which a pharmacy benefits manager provides,
17 arranges for, pays for, or reimburses any of the costs
18 of prescription services for an enrollee on a prepaid
19 or insured basis which provides all of the following:
20 a. Contains one or more incentive arrangements
21 intended to influence the cost or level of
22 prescription services between the plan sponsor and one
23 or more pharmacies with respect to the delivery of
24 prescription services.
25 b. Requires or creates benefit payment
26 differential incentives for enrollees to use under
27 contract with the pharmacy benefits manager.
28 "Pharmacy benefits management plan" does not mean
29 an employee welfare benefit plan as defined in the
30 federal Employee Retirement Income Security Act of
31 1974, 29 U.S.C. § 1002(1), which is self-insured or
32 self-funded.
33 13. "Pharmacy benefits manager" or "company" means
34 an entity that administers the prescription drug or
35 device portion of a health insurance plan or contract
36 on behalf of the sponsors of the health insurance plan
37 or contract.
38 14. "Plan sponsor" means an employer, insurance
39 company, union, or health maintenance organization
© 2003 Cornell College and
League of Women Voters of Iowa
Comments about this site or page?
hjourn@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Thu Aug 7 12:20:00 CDT 2003
URL: /DOCS/GA/80GA/Session.1/HJournal/00900/00950.html
jhf