Terms Used In Montana Code 33-2-2401

• Claims processing services: means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include either or both of the following:

  (a)receiving payments for pharmacist services; and

  (b)making payments to pharmacists or pharmacies. See Montana Code 33-2-2402

• Other prescription drug or device services: means services other than claims processing services that are provided directly or indirectly, whether in connection with or separate from claims processing services, including but not limited to:

  (a)negotiating rebates, discounts, or other financial incentives and arrangements with manufacturers, wholesale distributors, or other third parties;

  (b)disbursing or distributing rebates;

  (c)managing or participating in incentive programs or arrangements for pharmacist services;

  (d)negotiating or entering into contractual arrangements with pharmacists, pharmacies, or both;

  (e)developing and maintaining formularies;

  (f)designing prescription drug benefit programs;

  (g)advertising or promoting services; or

  (h)administering prior authorization, step therapy, case management, or other utilization review programs. See Montana Code 33-2-2402

• Oversight: Committee review of the activities of a Federal agency or program.
• Pharmacy: means an established location, either physical or electronic, that is licensed by the board of pharmacy pursuant to Title 37, chapter 7. See Montana Code 33-2-2402