<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="8-313" title_number="8" title_name="Entities That Act as Insurers" subtitle_number="3" subtitle_name="Third Party Administrators">
  <level label="a">
    <text>At least 30 days before the change is effective, an administrator of a plan that provides pharmaceutical benefits shall notify in writing all pharmacies under contract with the plan of any of the following changes in the pharmaceutical benefit program rules or requirements:</text>
    <level label="1">
      <text>exclusion of coverage for classes of drugs as specified by contract;</text>
    </level>
    <level label="2">
      <text>changes in prior or preauthorization procedures; or</text>
    </level>
    <level label="3">
      <text>selection of new prescription claims processors.</text>
    </level>
  </level>
  <level label="b">
    <text>An administrator that fails to provide advance notice under subsection (a) of this section shall honor and pay in full any claim under the program rules or requirements that existed before the change for 30 days after the postmarked date of the notice.</text>
  </level>
</section>
