(1) "Administrative fee" means any payment, other than a rebate, that a pharmaceutical manufacturer makes directly or indirectly to a pharmacy benefit manager.

(2) "Contracting insurer" means an insurer as defined in Section 31A-22-636 with whom a pharmacy benefit manager contracts to provide a pharmacy benefit management service.

(3) "Pharmacist" means the same as that term is defined in Section 58-17b-102.

(4) "Pharmacy" means the same as that term is defined in Section 58-17b-102.

(5) "Pharmacy benefits management service" means any of the following services provided to a health benefit plan, or to a participant of a health benefit plan: (a) negotiating the amount to be paid by a health benefit plan for a prescription drug; or (b) administering or managing a prescription drug benefit provided by the health benefit plan for the benefit of a participant of the health benefit plan, including administering or managing: (i) a mail service pharmacy; (ii) a specialty pharmacy; (iii) claims processing; (iv) payment of a claim; (v) retail network management; (vi) clinical formulary development; (vii) clinical formulary management services; (viii) rebate contracting; (ix) rebate administration; (x) a participant compliance program; (xi) a therapeutic intervention program; (xii) a disease management program; or (xiii) a service that is similar to, or related to, a service described in Subsection (5)(a) or (5)(b)(i) through (xii).

(a) negotiating the amount to be paid by a health benefit plan for a prescription drug; or

(b) administering or managing a prescription drug benefit provided by the health benefit plan for the benefit of a participant of the health benefit plan, including administering or managing: (i) a mail service pharmacy; (ii) a specialty pharmacy; (iii) claims processing; (iv) payment of a claim; (v) retail network management; (vi) clinical formulary development; (vii) clinical formulary management services; (viii) rebate contracting; (ix) rebate administration; (x) a participant compliance program; (xi) a therapeutic intervention program; (xii) a disease management program; or (xiii) a service that is similar to, or related to, a service described in Subsection (5)(a) or (5)(b)(i) through (xii).

(i) a mail service pharmacy;

(ii) a specialty pharmacy;

(iii) claims processing;

(iv) payment of a claim;

(v) retail network management;

(vi) clinical formulary development;

(vii) clinical formulary management services;

(viii) rebate contracting;

(ix) rebate administration;

(x) a participant compliance program;

(xi) a therapeutic intervention program;

(xii) a disease management program; or

(xiii) a service that is similar to, or related to, a service described in Subsection (5)(a) or (5)(b)(i) through (xii).

(6) "Pharmacy benefit manager" means a person licensed under this chapter to provide a pharmacy benefits management service.

(7) "Pharmacy service" means a product, good, or service provided to an individual by a pharmacy or pharmacist.

(8) (a) "Rebate" means a refund, discount, or other price concession that is paid by a pharmaceutical manufacturer to a pharmacy benefit manager based on a prescription drug's utilization or effectiveness. (b) "Rebate" does not include an administrative fee.

(a) "Rebate" means a refund, discount, or other price concession that is paid by a pharmaceutical manufacturer to a pharmacy benefit manager based on a prescription drug's utilization or effectiveness.

(b) "Rebate" does not include an administrative fee.