<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-1611.1" title_number="15" title_name="Health Insurance" subtitle_number="16" subtitle_name="Pharmacy Benefits Managers">
  <level label="a">
    <text>This section applies only to a pharmacy benefits manager that provides pharmacy benefits management services on behalf of a carrier.</text>
  </level>
  <level label="b">
    <text>Except as provided in subsection (c) of this section, a pharmacy benefits manager may not require that a beneficiary use a specific pharmacy or entity to fill a prescription if:</text>
    <level label="1">
      <text>the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager has an ownership interest in the pharmacy or entity; or</text>
    </level>
    <level label="2">
      <text>the pharmacy or entity has an ownership interest in the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager.</text>
    </level>
  </level>
  <level label="c">
    <text>Except as provided in § 15–847.2 of this title, a pharmacy benefits manager may require a beneficiary to use a specific pharmacy or entity for a specialty drug as defined in § 15–847 of this title.</text>
  </level>
</section>
