Vermont § 9471 - Definitions [Repealed effective July 1, 2029] As used in this subchapter:

§ 9471. Definitions [Repealed effective July 1, 2029] As used in this subchapter:

• (1) “Beneficiary” means an individual enrolled in a health plan in which coverage of prescription
  drugs is administered by a pharmacy benefit manager and includes his or her dependent
  or other person provided health coverage through that health plan. (2) “Health insurer” is defined by section 9402 of this title and shall include: (A) a health insurance company, a nonprofit hospital and medical service corporation,
  and health maintenance organizations; (B) an employer, labor union, or other group of persons organized in Vermont that provides
  a health plan to beneficiaries who are employed or reside in Vermont; and (C) the State of Vermont and any agent or instrumentality of the State that offers, administers,
  or provides financial support to State government. (3) “Health plan” means a health benefit plan offered, administered, or issued by a health
  insurer doing business in Vermont. (4) “Pharmacy benefit management” means an arrangement for the procurement of prescription
  drugs at a negotiated rate for dispensation within this State to beneficiaries, the
  administration or management of prescription drug benefits provided by a health plan
  for the benefit of beneficiaries, or any of the following services provided with regard
  to the administration of pharmacy benefits: (A) mail service pharmacy; (B) claims processing, retail network management, and payment of claims to pharmacies
  for prescription drugs dispensed to beneficiaries; (C) clinical formulary development and management services; (D) rebate contracting and administration; (E) certain patient compliance, therapeutic intervention, and generic substitution programs;
  and (F) disease or chronic care management programs. (5) “Pharmacy benefit manager” means an entity that performs pharmacy benefit management,
  except an entity that provides pharmacy benefit management services for Vermont Medicaid