As used in this subchapter:
- (1) “Claim” means a request from a pharmacy or pharmacist to be reimbursed for the cost of filling or refilling a prescription for a drug or for providing a medical supply or device.
- (2) “Contracted pharmacy” means a pharmacy that participates in the network of a pharmacy benefits manager through a contract with a pharmacy benefits manager, a pharmacy services administration organization, or a group purchasing organization.
- (3) “Drug shortage list” means a list of drug products listed on the federal Food and Drug Administration’s Drug Shortages website.
- (4) “Insurer” means any entity that provides health insurance coverage in this State as defined in § 903 of this title.
- (5) “Maximum allowable cost” means the maximum amount that a pharmacy benefits manager will reimburse a pharmacist or pharmacy for the cost of a multi-sourced drug, medical product, or device.
- (6) “Maximum allowable cost list” means the multi-source generic drugs, medical products, and devices for which a maximum allowable cost has been established by a pharmacy benefits manager or a purchaser.
- (7) “Network providers” means those pharmacists and pharmacies who provide covered health-care services or supplies to an insured or a member pursuant to a contract with an insurer or pharmacy benefits manager.
- (8) “Pharmacist” means as defined under § 2502 of Title 24.
- (9) “Pharmacy” means as defined under § 2502 of Title 24.
- (10) “Pharmacy benefits management services” means as defined under § 3351A of this title.
- (11) “Pharmacy benefits manager” means as defined under § 3302A of this title.
- (12) “Purchaser” means as defined under § 3351A of this title.
80 Del. Laws, c. 245, § 1; 82 Del. Laws, c. 115, § 1