<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 17.04.15.05" title_num="17" subtitle_num="04" chapter_num="15" heading="Services Available to Purchasing Pool Members.">
  <paragraph num="A.">
    <text>A purchasing pool member shall benefit from participation in the Maryland Rx Program as follows:</text>
    <paragraph num="(1)">
      <text>Setting the fully insured equivalent premiums (including employee and employer portion as applicable) for its own self-funded plan, without reference to the employer and employee contributions set by the State for the State's prescription benefits plan; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Receiving, in exchange for the negotiated administrative fee, the following services in connection with its own pharmacy or prescription benefits plan:</text>
      <paragraph num="(a)">
        <text>Account management services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Claims payment, processing and tracking services;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Reporting;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Enrollment tracking; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Invoicing.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The drug ingredient cost and pricing terms, maximum dispensing fees, and minimum rebate guarantees that are associated with the total enrollment in the Maryland Rx Program shall be used to calculate the costs payable by and rebates issued to each purchasing pool member in connection with its prescription benefits plan.</text>
  </paragraph>
</regulation>