For purposes of this subchapter:
(1) “Pharmacy benefits management services” means all of the following:
- a. The procurement of prescription drugs at a negotiated rate for dispensation within this State to beneficiaries.
- b. The administration or management of prescription drug coverage provided by a purchaser for beneficiaries.
c. Any of the following services provided with regard to the administration of prescription drug coverage:
- 1. Mail service pharmacy.
- 2. Claims processing, retail network management, and payment of claims to pharmacies for prescription drugs dispensed to beneficiaries.
- 3. Clinical formulary development and management services.
- 4. Rebate contracting and administration. For purposes of this paragraph (1)c.4., “rebate” means as defined in § 3361A of this title.
- 5. Patient compliance, therapeutic intervention, and generic substitution programs.
- 6. Disease management programs.
- (2) “Pharmacy benefits manager” means as defined under § 3302A of this title.
(3) “Purchaser” means a person that does all of the following:
- a. Provides prescription drug coverage or benefits in this State.
- b. Enters into agreement with a pharmacy benefits manager for the provision of pharmacy benefits management services.
82 Del. Laws, c. 115, § 4; 83 Del. Laws, c. 256, § 8