TITLE 18
Insurance Code
Insurance
CHAPTER 33A. Pharmacy Benefits Managers [For application of this chapter, see 80 Del. Laws, c. 245, § 2]
Subchapter III. Permitted Disclosures Related to Prescription Drugs [For application of this subchapter, see 81 Del. Laws, c. 378, § 2].
For purposes of this subchapter:
(1) “Pharmacist” means as defined in § 2502 of Title 24.
(2) “Pharmacy” means as defined in § 2502 of Title 24.
(3) “Pharmacy benefits manager” means as defined in § 3302A of this title.
(4) “Substitute” means as defined in § 2502 of Title 24.
81 Del. Laws, c. 378, § 1; 83 Del. Laws, c. 256, § 6; 85 Del. Laws, c. 481, § 3;A contract between a pharmacy benefits manager and a pharmacy may not prohibit a pharmacy or pharmacist from doing any of the following:
(1) Providing a patient with information regarding the retail price of a prescription drug or the amount of the cost share for which the patient is responsible for a prescription drug.
(2) Discussing with a patient information regarding the retail price of a prescription drug or the amount of the cost share for which the patient is responsible for a prescription drug.
(3) If a more affordable substitute is available, selling the more affordable substitute to the patient.
81 Del. Laws, c. 378, § 1; 83 Del. Laws, c. 256, § 7;(a) A pharmacy benefits manager may not retaliate against a pharmacist or pharmacy for disclosing information in any proceeding if the pharmacist or pharmacy has reasonable cause to believe that the disclosed information is evidence of a violation of a state or federal law, rule, or regulation. Proceedings under this subsection include information disclosed as follows:
(1) To a court.
(2) During an administrative investigation or hearing.
(3) To a legislative commission or committee.
(b) A pharmacy benefits manager may not retaliate against a pharmacist or pharmacy for disclosing information to a government, regulatory, or law-enforcement agency, if the pharmacist or pharmacy has reasonable cause to believe that the disclosed information is evidence of a violation of a state or federal law, rule, or regulation.
(c) A pharmacist or pharmacy shall, to the extent possible, limit the disclosure of confidential and proprietary information when making a disclosure under subsection (a) or (b) of this section.
(d) Retaliatory actions against a pharmacist or pharmacy include the cancellation or restriction of, the refusal to renew, or the refusal to offer a contract solely because the pharmacy or pharmacist has done 1 or more of the following:
(1) Disclosed information under subsection (a) or (b) of this section.
(2) Filed complaints with a pharmacy benefits manager.
(3) Filed complaints against an insurer or pharmacy benefits manager with the Department.
(4) Filed an appeal with the Commissioner under § 3324A(h) of this title.
(e) If a contract entered into, amended, extended, or renewed after December 31, 2026, includes a provision that prohibits a disclosure permitted under this section, that provision is against public policy and is void and unenforceable.
85 Del. Laws, c. 481, § 3;81 Del. Laws, c. 378, § 1;