Rules & Regulations of the State of Tennessee
Title 0780 - Commerce and Insurance
Subtitle 0780-01 - Insurance Division
Chapter 0780-01-95 - Pharmacy Benefits Managers
- Section 0780-01-95-.01 - SCOPE
- Section 0780-01-95-.02 - DEFINITIONS
- Section 0780-01-95-.03 - APPROVAL OF INITIAL APPEAL PROCESS
- Section 0780-01-95-.04 - ACTIONS DURING AND AFTER AN INITIAL APPEAL
- Section 0780-01-95-.05 - TIMING AND NOTICE REQUIREMENTS FOR INITIAL APPEAL PROCESSES
- Section 0780-01-95-.06 - EXTERNAL APPEAL PROCESS
- Section 0780-01-95-.07 - FEES
- Section 0780-01-95-.08 - PLANS UTILIZING A REIMBURSEMENT METHODOLOGY IDENTICAL TO THE METHODOLOGY USED BY THE STATE PLAN FOR MEDICAL ASSISTANCE APPROVED BY THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES
- Section 0780-01-95-.09 - AUDITS BY PHARMACY BENEFITS MANAGERS
- Section 0780-01-95-.10 - DETERMINATION OF PHARMACY'S PROFESSIONAL DISPENSING FEE
- Section 0780-01-95-.11 - AUDITS AND AUDIT REPORTS
- Section 0780-01-95-.12 - AUDIT COSTS
- Section 0780-01-95-.13 - LICENSING
- Section 0780-01-95-.14 - RECORD KEEPING
- Section 0780-01-95-.15 - ANNUAL REPORTS
- Section 0780-01-95-.16 - VIOLATIONS; CONTROL OF PBM
- Section 0780-01-95-.17 - EXCLUSIONS
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