§ 9471 Definitions
§ 9472 Pharmacy benefit managers; required practices with respect to health insurers and covered persons
§ 9473 Pharmacy benefit managers; required practices with respect to pharmacies
§ 9474 Enforcement

Terms Used In Vermont Statutes > Title 18 > Chapter 221 > Subchapter 9 - Pharmacy Benefit Managers

  • Agency: means the Agency of Transportation. See
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Board: means the Transportation Board. See
  • Board: means the Green Mountain Care Board established in chapter 220 of this title. See
  • Commissioner: means the Commissioner of Financial Regulation or the Commissioner's designee. See
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: means the Department of Financial Regulation. See
  • Dependent: A person dependent for support upon another.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fee simple: Absolute title to property with no limitations or restrictions regarding the person who may inherit it.
  • Fees: shall mean earnings due for official services, aside from salaries or per diem compensation. See
  • Fiduciary: A trustee, executor, or administrator.
  • following: when used by way of reference to a section of the law shall mean the next preceding or following section. See
  • Health insurer: means any health insurance company, nonprofit hospital and medical service corporation, managed care organizations, and, to the extent permitted under federal law, any administrator of an insured, self-insured, or publicly funded health care benefit plan offered by public and private entities. See
  • Health plan: means a health benefit plan offered, administered, or issued by a health insurer doing business in Vermont. See
  • highway: includes rights-of-way, bridges, drainage structures, signs, guardrails, areas to accommodate utilities authorized by law to locate within highway limits, areas used to mitigate the environmental impacts of highway construction, vegetation, scenic enhancements, and structures. See
  • Hospital: means an acute care hospital licensed under chapter 43 of this title. See
  • Maximum allowable cost: means the per unit drug product reimbursement amount, excluding dispensing fees, for a group of equivalent multisource generic prescription drugs. See
  • Person: includes a municipality or State agency. See
  • Person: means any individual, company, corporation, association, partnership, the U. See
  • Pharmacy benefit management: means an arrangement for the procurement of prescription drugs at a negotiated rate for dispensation within this State to beneficiaries, the administration or management of prescription drug benefits provided by a health plan for the benefit of beneficiaries, or any of the following services provided with regard to the administration of pharmacy benefits:

  • Pharmacy benefit manager: means an entity that performs pharmacy benefit management, except an entity that provides pharmacy benefit management services for Vermont Medicaid. See
  • Pharmacy benefit manager affiliate: means a pharmacy or pharmacist that, directly or indirectly, through one or more intermediaries, is owned or controlled by, or is under common ownership or control with, a pharmacy benefit manager. See
  • road: shall include bridges thereon and their approaches. See
  • seal: shall include an impression of the official seal made upon paper alone or by means of a wafer or wax affixed thereto. See
  • Selectboard: includes village trustees and city councils. See
  • State: when applied to the different parts of the United States may apply to the District of Columbia and any territory and the Commonwealth of Puerto Rico. See
  • Town: includes incorporated villages and cities. See