§ 56-7-3201 Part definitions
§ 56-7-3202 Calculation of out-of-pocket costs for prescription drugs and covered services
§ 56-7-3203 Disclosure of the actual reimbursement for a particular prescription or covered service
§ 56-7-3204 Construction of part

Terms Used In Tennessee Code > Title 56 > Chapter 7 > Part 32

  • Actual reimbursement: means the total amount that a covered entity or pharmacy benefits manager determines that a pharmacy or other dispenser will receive consistent with the provider agreement, and is the sum of the amount the covered entity or pharmacy benefits manager will pay directly to the pharmacy or other dispenser plus any applicable patient out-of-pocket cost paid directly by the patient to the pharmacy or other dispenser, for dispensing of a particular prescription or providing a covered service. See
  • Code: includes the Tennessee Code and all amendments and revisions to the code and all additions and supplements to the code. See Tennessee Code 1-3-105
  • Covered entity: means a covered entity as defined in §. See
  • Pharmacy benefits manager: means a pharmacy benefits manager as defined in §. See
  • Representative: when applied to those who represent a decedent, includes executors and administrators, unless the context implies heirs and distributees. See Tennessee Code 1-3-105
  • State: when applied to the different parts of the United States, includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105