"Pharmacy benefit management services"
Ind. Code § 27-1-24.5-11.5
in effectSec. 11.5. As used in this chapter, "pharmacy benefit management services" means:
(1) negotiating the price of prescription drugs, including negotiating and contracting for direct or indirect rebates, discounts, or other price concessions;
(2) managing any aspect of a prescription drug benefit, including:
(A) the processing and payment of claims for prescription drugs;
(B) arranging alternative access to or funding for prescription drugs;
(C) the performance of drug utilization review;
(D) the processing of drug prior authorization requests;
(E) the adjudication of appeals or grievances related to the prescription drug benefit;
(F) contracting with network pharmacies;
(G) controlling the cost of covered prescription drugs;
(H) managing or providing data relating to the prescription drug benefit;
(I) the provision of services related to the prescription drug benefit; or
(J) creating or updating prescription drug formularies;
(3) the performance of any administrative, managerial, clinical, pricing, financial, reimbursement, data administration or reporting, or billing service; and
(4) any other services specified in a rule adopted by the department.
As added by P.L.237-2025, SEC.5.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026