(1) All health carriers, health maintenance organizations, health services corporations, and preferred provider programs in the state of New Hampshire in connection with managed care coverage governed by RSA 420-J or when using a utilization review entity subject to RSA 420-E;
(2) Any pharmacy benefits manager with which any of the aforementioned entities contracts to perform prior authorization services for prescription drug benefits; and
(3) All utilization review entities.
(b) These rules shall not apply to the Medicaid managed care program under RSA 126-A:5, XIX.
(c) These rules shall not apply to drugs administered directly by a medical provider in a medical setting.