6.6.7904    NETWORK ADEQUACY DIRECTORIES

(1)  A PBM must post electronically a current, accurate, and searchable directory of pharmacies for each pharmacy network. 

(a)  In making the directory available electronically, the PBM must ensure that the general public is able to view all pharmacies included in each pharmacy network through a clearly identifiable link or tab, without creating an account or entering a policy or contract number.

(b)  A PBM must clearly identify in its electronic directories the pharmacies that are in each pharmacy network.

(c)  A PBM must include in its electronic directory a customer service email address and telephone number or electronic link that enrollees, injured workers of a workers' compensation insurance carrier, or the general public may use to notify the PBM of inaccurate directory information. 

History: 33-1-313, 33-2-2409, 33-2-2412, MCA; IMP, 33-2-2402, 33-2-2403, 33-2-2409, MCA; NEW, 2021 MAR p. 1899, Eff. 1/1/22.