Terms Used In Kansas Statutes 40-3824

  • Commissioner: means the commissioner of insurance of the state of Kansas. See Kansas Statutes 40-3801
  • Person: means an individual or a business entity. See Kansas Statutes 40-3801
  • Pharmacy benefits management: means :

    (1) Any of the following services provided with regard to the administration of the following pharmacy benefits:

    (A) Mail service pharmacy;

    (B) claims processing, retail network management and payment of claims to pharmacies for prescription drugs dispensed to covered individuals;

    (C) clinical formulary development and management services;

    (D) rebate contracting and administration;

    (E) certain patient compliance, therapeutic intervention and generic substitution programs; or

    (F) disease management programs involving prescription drug utilization; and

    (2) (A) the procurement of prescription drugs by a prescription benefits manager at a negotiated rate for dispensation to covered individuals within this state; or

    (B) the administration or management of prescription drug benefits provided by a covered insurance entity for the benefit of covered individuals. See Kansas Statutes 40-3822

  • Pharmacy benefits manager: includes any person or entity acting in a contractual or employment relationship for a pharmacy benefits manager in the performance of pharmacy benefits management for a covered entity. See Kansas Statutes 40-3822

(a) Each pharmacy benefits manager license shall expire on March 31 each year and may be renewed annually on the request of the licensee. The application for renewal shall be submitted on a form furnished by the commissioner and accompanied by a renewal fee of $2,500. The application for renewal shall be in such form and contain such matters as the commissioner prescribes.

(b) If a license renewal fee is not paid by the prescribed date, the amount of the fee, plus a penalty fee of $2,500 shall be paid. The pharmacy benefits manager’s license may be revoked or suspended by the commissioner until the renewal fee and any penalty assessed has been paid.

(c) Any person who performs or is performing any pharmacy benefits management service shall be required to obtain a license as a pharmacy benefits manager from the commissioner not later than January 1, 2023, in order to continue to do business in Kansas.