Chapter 62W — Minnesota Pharmacy Benefit Manager Licensure and Regulation Act

62W.01 Citation This section gives the official name of this chapter. It is called the 'Minnesota Pharmacy Benefit Manager Licensure and … 62W.02 Definitions This section defines key terms used in this chapter. It explains what words like 'pharmacy benefit manager,' 'aggregate … 62W.03 License to Do Business This section requires pharmacy benefit managers to be licensed by the Minnesota Department of Commerce before doing … 62W.04 Pharmacy Benefit Manager General Business Practices This section describes how to apply for a PBM license. It lists the information required in the application, including … 62W.05 Pharmacy Benefit Manager Network Adequacy This section sets out duties and obligations that licensed PBMs must follow. It covers transparency requirements and … 62W.06 Pharmacy Benefit Manager Transparency This section addresses how PBMs must handle drug formularies and coverage decisions. It sets rules about how drugs are … 62W.07 Pharmacy Ownership Interest; Pharmacy Services This section covers pharmacy reimbursement rates and how PBMs pay pharmacies for dispensing medications. It sets … 62W.075 Therapeutic Alternative Prescription Drug This section addresses additional regulatory requirements for pharmacy benefit managers in Minnesota. It covers specific … 62W.076 Specialty Pharmacy This section addresses additional regulatory requirements for pharmacy benefit managers in Minnesota. It covers specific … 62W.077 Preferred Network This section addresses additional regulatory requirements for pharmacy benefit managers in Minnesota. It covers specific … 62W.08 Maximum Allowable Cost Pricing This section addresses PBM transparency and reporting requirements. PBMs must disclose certain information about their … 62W.09 Pharmacy Audits This section covers prohibited practices for PBMs. It lists actions that PBMs are not allowed to take in their dealings … 62W.10 Synchronization This section addresses pharmacy audits conducted by PBMs. It sets rules for how PBMs can audit pharmacy records and what … 62W.11 Gag Clause Prohibition This section describes the enforcement powers of the Department of Commerce over PBMs. It covers investigations, … 62W.12 Point of Sale This section covers network adequacy requirements for PBMs. It sets standards to ensure patients have reasonable access … 62W.13 Retroactive Adjustments This section addresses additional regulatory requirements for pharmacy benefit managers in Minnesota. It covers specific … 62W.14 Prompt Filling for Specialty Drugs This section addresses additional regulatory requirements for pharmacy benefit managers in Minnesota. It covers specific … 62W.15 Clinician-administered Drugs This section addresses additional regulatory requirements for pharmacy benefit managers in Minnesota. It covers specific …