Pharmacy Benefit Managers | Midpage

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Oregon Revised Statutes

Pharmacy Benefit Managers

Pharmacy Benefit Managers

735.530Definitions for ORS 735.530 to 735.552 735.532License to transact business as pharmacy benefit manager; fees; rules 735.533Denial, suspension or revocation of license to transact business as pharmacy benefit manager; basis; complaint; rules 735.534Claim reimbursement; maximum allowable costs; documentation; complaints; rules 735.536Requirements for pharmacy benefit manager’s reimbursement for cost of drugs; rules 735.537Reports to department regarding payments received from manufacturers and disposition of payments from manufacturers 735.538Reports to department regarding manuals and contracts with pharmacy services administrative organizations 735.540Definitions for ORS 735.540 to 735.552 735.542Pharmacy claims audits; requirements 735.544Pharmacy claims audits; standards for review of claims 735.546Pharmacy claims audits; auditors 735.548Pharmacy claims audits; validation of claims 735.550Pharmacy claims audits; reports of findings; opportunity to resubmit claim and to contest finding 735.552Pharmacy claims audits; exception for fraud