The following terms apply to this Article:

“Certificate of Good Standing” as used in A.R.S. § 20-3333(B)(1)(f) means the same as defined under A.R.S. § 10-128.

“Department” means the Arizona Department of Insurance and Financial Institutions, Insurance Division.

“Director of the Department” means the same as defined under A.R.S. § 20-102.

“Health plan” as used in A.R.S. § 20-3333(R) means the same as “Health care plan” as defined under A.R.S. § 20-3151.

“Insurer” means the same as defined under A.R.S. § 20-3321(5).

“Material modification” as used in A.R.S. § 20-3333(D) means a change to any of the information required to be submitted to the Department under A.R.S. § 20-3333(B)(1)(a) through (e), a notification that the licensee is no longer in good standing with the Arizona Corporation Commission, or a change in the description of the Pharmacy Benefit Manager’s services, facilities, or personnel.

“Overall time frame” means the same as defined under A.R.S. § 41-1072(2).

“Pay the fee” means to submit to the Department the fee required to accompany the initial application for or renewal of the Pharmacy Benefit Manager’s certificate of authority. The initial application fee is $500 and the renewal fee is $500. In lieu of direct payment of the fee, the applicant or licensee may submit proof of payment of the fee. All fees are non-refundable.

“Person” means the same as defined under A.R.S. § 20-105.

“Pharmacy Benefit Manager” means the same as defined under A.R.S. § 20-3321(10).

“Records” as used in Section R20-6-2507 includes records, books, documentation, and other data.

“Utilization review plan” means the same as defined under A.R.S. § 20-2501(A)(17).

Historical Note

New Section made by final rulemaking at 31 A.A.R. 4446 (November 28, 2025), effective January 4, 2026 (Supp. 25-4).