LD 554
pg. 1
LD 554 Title Page An Act To Protect Against Unfair Prescription Drug Practices Page 2 of 5
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LR 1315
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 22 MRSA c. 603, sub-c. 4 is enacted to read:

 
SUBCHAPTER 4

 
PRESCRIPTION DRUG PRACTICES

 
§2699.__Prescription drug practices

 
Pharmacy benefits managers shall and contracts for pharmacy
benefits management must comply with the requirements of this
section.

 
1.__Definitions.__As used in this chapter, unless the
context otherwise indicates, the following terms have the
following meanings.

 
A.__"Covered entity" means a nonprofit hospital or medical
service organization, insurer, health coverage plan or
health maintenance organization licensed pursuant to Title
24 or 24-A; a health program administered by the
department or the State in the capacity of provider of
health coverage; or an employer, labor union or other
group of persons organized in the State that provides
health coverage to covered individuals who are employed or
reside in the State.__"Covered entity" does not include a
health plan that provides coverage only for accidental
injury, specified disease, hospital indemnity, Medicare
supplement, disability income or other long-term care.

 
B.__"Covered individual" means a member, participant,
enrollee, contract holder or policy holder or beneficiary
of a covered entity who is provided health coverage by the
covered entity.__"Covered individual" includes a dependent
or other person provided health coverage through a policy,
contract or plan for a covered individual.

 
C.__"ERISA" means the Employee Retirement Income Security
Act of 1974, 29 United States Code, Sections 1001 to 1461
(1988).

 
D.__"Generic drug" means a chemically equivalent copy of a
brand-name drug with an expired patent.

 
E.__"Labeler" means an entity or person that receives
prescription drugs from a manufacturer or wholesaler and
repackages those drugs for later retail sale and that has
a labeler code from the federal Food and Drug
Administration under 21 Code of Federal Regulations,
270.20 (1999).


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