Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 10 - HEALTH INSURANCE-GENERAL
Chapter 31.10.48 - Pharmacy Benefits Managers-Informational Filing of Contracts and Amendments
Section 31.10.48.05 - Use of Noncompliant Contract or Amendment
Universal Citation: MD Code Reg 31.10.48.05
Current through Register Vol. 51, No. 26, December 27, 2024
A. If a PBM uses a contract form or amendment form which becomes effective and the contract form or amendment form is subsequently found by the Commissioner to be noncompliant, the Commissioner may:
(1) Issue an order that:
(a) Gives notice of the disapproval;
(b) States a reason for the disapproval; and
(c) States the effective date of the disapproval in the notice; and
(2) Impose a penalty as provided under Insurance Article, §
15-1642, Annotated Code of Maryland.
B. An order under this regulation is subject to a hearing under Insurance Article, § 2-210, Annotated Code of Maryland.
C. A request for a hearing under this regulation does not stay that portion of the order that requires a PBM to cease and desist from the conduct identified in the order.
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