New Hampshire § 402-N-3 - Section 402-N:3 Provider Contract Standards for Pharmacy Benefit Managers.
Full text of New Hampshire New Hampshire Revised Statutes Annotated § 402-N-3 — Section 402-N:3 Provider Contract Standards for Pharmacy Benefit Managers., with citation guidance and answers to common questions.
§ 402-N-3. Section 402-N:3 Provider Contract Standards for Pharmacy Benefit Managers.
I. All contracts between a carrier or pharmacy benefit manager and a contracted pharmacy shall include: (a) The sources used by the pharmacy benefit manager to calculate the drug product reimbursement paid for covered drugs available under the pharmacy health benefit plan administered by the carrier or pharmacy benefit manager. (b) A process to appeal, investigate, and resolve disputes regarding the maximum allowable cost pricing. The process shall include the following provisions: (1) A provision granting the contracted pharmacy or pharmacist at least 30 business days following the initial claim to file an appeal; (2) A provision requiring the carrier or pharmacy benefit manager to investigate and resolve the appeal within 30 business days; (3) A provision requiring that, if the appeal is denied, the carrier or pharmacy benefit manager shall: (A) Provide the reason for the denial; and (B) Identify the national drug code of a drug product that may be purchased by contracted pharmacies at a price at or below the maximum allowable cost; and (4) A provision requiring that, if an appeal is granted, the carrier or pharmacy benefits manager shall within 30 business days after granting the appeal: (A) Make the change in the maximum allowable cost; and (B) Permit the challenging pharmacy or pharmacist to reverse and rebill the claim in question. II. For every drug for which the pharmacy benefit manager establishes a maximum allowable cost to determine the drug product reimbursement, the pharmacy benefit manager shall: (a) Include in the contract with the pharmacy information identifying the national drug pricing compendia or sources used to obtain the drug price data. (b) Make available to a contracted pharmacy the actual maximum allowable cost for each drug. (c) Review and make necessary adjustments to the maximum allowable cost for every drug for which the price has changed at least every 14 days. III. [Repealed.]
Source: official New Hampshire text · Last verified 2026-08-27
Frequently Asked Questions About New Hampshire § 402-N-3
What does New Hampshire Revised Statutes Annotated § 402-N-3 cover?
Section 402-N-3 ("Section 402-N:3 Provider Contract Standards for Pharmacy Benefit Managers.") is part of the New Hampshire Revised Statutes Annotated, the codified statutory law of New Hampshire. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite New Hampshire § 402-N-3?
A common citation format is "New Hampshire Revised Statutes Annotated § 402-N-3" (New Hampshire). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of New Hampshire law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the New Hampshire official source linked on this page or consult a licensed New Hampshire attorney.
How does New Hampshire § 402-N-3 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in New Hampshire can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in New Hampshire.