IC 27-1-24.5-12 — "Pharmacy benefit manager"

Bills citing this section

• SB 802026Signed into law

  Code publication.

• HB 12792026In committee

  Collection of cost sharing.

Section text

Sec. 12. (a) As used in this chapter, "pharmacy benefit manager" means: (1) a person who, under a written agreement with an insurer, health plan, state agency, managed care organization, or other third party payor, directly or indirectly provides one (1) or more pharmacy benefit management services on behalf of the insurer, health plan, state agency, managed care organization, or other third party payor; and (2) an agent, a contractor, an intermediary, an affiliate, a subsidiary, or a related entity of a person described in subdivision (1) who facilitates, provides, directs, or oversees the provision of the pharmacy benefit management services. (b) The term does not include the following: (1) A person licensed under IC 16. (2) A health provider who is: (A) described in IC 25-0.5-1; and (B) licensed or registered under IC 25. (3) A consultant who only provides advice concerning the selection or performance of a pharmacy benefit manager.

As added by P.L.68-2020, SEC.1. Amended by P.L.32-2021, SEC.77; P.L.237-2025, SEC.6.

Source: official publisher (2026 edition)

Sections citing IC 27-1-24.5-12

• IC 25-1-8.5-2
• IC 27-1-24.2-12
• IC 27-1-24.7-6
• IC 27-1-25.5-4
• IC 27-1-4.5-3
• IC 27-1-44.5-2
• IC 27-2-25.5-3

Sections IC 27-1-24.5-12 cites

• IC 16
• IC 25
• IC 25-0.5-1