(1) "Claims processing services" means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include:
(A) Receiving payments for pharmacist services;
(B) Making payments to pharmacists or pharmacies for pharmacist services; or
(C) Both subdivisions (1)(A) and (B) of this section;
(2)
(A) "Health benefit plan" means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by a healthcare insurer in this state.
(B) "Health benefit plan" does not include:
(i) Accident-only plans;
(ii) Specified disease plans;
(iii) Disability income plans;
(iv) Plans that provide only for indemnity for hospital confinement;
(v) Long-term care only plans that do not include pharmacy benefits;
(vi) Other limited-benefit health insurance policies or plans; or
(vii) Health benefit plans provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;
(3) "Healthcare insurer" means an insurance company, a health maintenance organization, or a hospital and medical service corporation;
(4) "Other prescription drug or device services" means services other than claims processing services, provided directly or indirectly, whether in connection with or separate from claims processing services, including without limitation:
(A) Negotiating rebates, discounts, or other financial incentives and arrangements with drug companies;
(B) Disbursing or distributing rebates;
(C) Managing or participating in incentive programs or arrangements for pharmacist services;
(D) Negotiating or entering into contractual arrangements with pharmacists or pharmacies, or both;
(E) Developing formularies;
(F) Designing prescription benefit programs; or
(G) Advertising or promoting services;
(5) "Pharmacist" means an individual licensed as a pharmacist by the Arkansas State Board of Pharmacy;
(6) "Pharmacist services" means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy as defined in § 17-92-101;
(7) "Pharmacy" means the same as defined in § 17-92-101;
(8)
(A) "Pharmacy benefits manager" means a person, business, or entity, including a wholly or partially owned or controlled subsidiary of a pharmacy benefits manager, that provides claims processing services or other prescription drug or device services, or both, for health benefit plans.
(B) "Pharmacy benefits manager" does not include any:
(i) Healthcare facility licensed in Arkansas;
(ii) Healthcare professional licensed in Arkansas;
(iii) Consultant who only provides advice as to the selection or performance of a pharmacy benefits manager; or
(iv) Entity that provides claims processing services or other prescription drug or device services for the fee-for-service Arkansas Medicaid Program only in that capacity;
(9) "Pharmacy benefits manager affiliate" means a pharmacy or pharmacist that directly or indirectly, through one (1) or more intermediaries, owns or controls, is owned or controlled by, or is under common ownership or control with a pharmacy benefits manager;
(10) "Pharmacy benefits manager network" means a network of pharmacists or pharmacies that are offered by an agreement or insurance contract to provide pharmacist services for health benefit plans;
(11) "Pharmacy benefits plan or program" means a plan or program that pays for, reimburses, covers the cost of, or otherwise provides for pharmacist services under a health benefit plan;
(12) "Pharmacy services administrative organization" means an organization that helps community pharmacies and pharmacy benefits managers or third-party payers achieve administrative efficiencies, including contracting and payment efficiencies;
(13)
(A) "Rebate" means a discount or other price concession based on utilization of a prescription drug that is paid by a manufacturer or third party, directly or indirectly, to a pharmacy benefits manager, pharmacy services administrative organization, or pharmacy after a claim has been processed and paid at a pharmacy.
(B) "Rebate" includes without limitation incentives, disbursements, and reasonable estimates of a volume-based discount; and
(14) "Third party" means a person, business, or entity other than a pharmacy benefits manager that is not an enrollee or insured in a health benefit plan.