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Original Article

Legal Issues Arising from Managing the Pharmacy Benefit

&
Pages 77-108 | Published online: 04 Dec 2011

REFERENCES

  • 42 U.S.C. § 12131, et. seq.
  • 29 U.S.C. § 1002(b); 29 CFR § 2520.102-3(s).
  • Miss, Stat. § 83-41–319.
  • Ariz. Rev. Stat. Ann. § 20–1076.
  • N.Y. Session Laws Ch. 705.
  • NY Ins. Stat. §4408, NY Ins. Stat. § 3217–a.
  • See 1995 Miss. Laws 613.
  • See Mass. Gen. L. § 51.08.
  • N. C. Rules, .1812.
  • Grijalva v. Shalala, 946 F. Supp. 747 (D. Ariz. 1996); 1997 WL 155392 (D. Ariz. 1996).
  • Adkins v. Mong, 425 N.W.2d 151 (Mich. 1988),
  • 14 Cal. Rptr.2d 77 (Cal. Ct. App. 5th Dist. 1992).
  • McKee v American Home Prods. Corp., 782 P.2d 1045, 1051 (Wash. 1989).
  • McKee, 782 P.2d 1045 (Wash. 1989); Leesley v. West, 518 N.E. 758 (III. App. 2 Dist. 1988).
  • Leesley v. West, 518 N.E.2d 758 (III. App. 2 Dist. 1988).
  • 508 A.2d 1247 (Pa. Super. 1986). 17.42 U.S.C. 1396-8(g).
  • 1992 Conn. 92-1641(a) (Reg. Sess.).
  • Va. Code Ann. 54.1-3319(A).
  • 42 U.S.C. 1396-8(g)(A)(I).
  • Va. Code Ann. 54.1–3319.
  • Minn. Rules part 6800.0910.
  • Cal. Sup, Ct., Sacramento County, No. 543643, filed 10/19/94.
  • 544 N.W.2d 727 (1996).
  • 523 A.2d 374 (Pa. Super. 1987).
  • See Elesser v. Hospital of Philadelphia College of Osteopathic Medicine, 802 F. Supp. 1286 (E.D. Pa. 1992).
  • 547 A.2d 1229 (Pa. Super. 1988). 547 A.2d 1229 (Pa. Super. 1988).
  • 1988 Mo. App. LEXIS 1040, affirmed, 781 S.W.2d 58 (Mo. 1989).
  • No. 860CV-25767 (Mich. Cir. Ct. Saginaw City, filed Apr. 27, 1986).
  • 160 Cal. Rptr. 392 (Cal. Ct. App. 2nd Dist. 1979).
  • 192 Cal. App.3d 1630, review granted and opinion superseded 727 P.2d 753 (Cal. 1986).
  • 271 Cal. Rptr. 876 (Cal. Ct. App. 1990).
  • 199 Cal. App.3d 958 (Cal. App. 1988).
  • 775 F.2d 1457 (11th Cir, 1985).
  • 233 Cal. Rptr. 76 (Cal. 1987).
  • 29 U.S.C. § 1002.
  • Ingersoll-Rand Co. v. McClendon, 498 U.S. 133 (1990).
  • Examples of cases finding that ERISA does not preempt state law negli-gence claims: Dukes v. US. HealthCare Inc., 57 F.3d 350 (3d Cir. 1995); Pacifi-care of Oklahoma v. Burrage, 59 F.3d 157 (10th Cir. 1995). Examples of cases finding that ERISA does preempt state law negligence claims: Pomeray v. Johns Hopkins Medical Servs., Inc., 868 F. Supp. 110 (D. Md. 1994). Altiere v. CIGNA Dental Health, Inc., 753 F. Supp. 61 (D. Conn. 1990). Ricci v. Gooberman, 840 F. Supp. 316 (D.N.J. 1993).
  • See Minn. Stat § 144.335.
  • Minn. Stat § 147.091, subd. 1(m).
  • Minn. Stat. § 72A.502, subd.l.
  • MN Stat. § 62D.14, subd.4.
  • NY Ins. Stat. § 4905.
  • See Missouri Rev. Stat. § 191.656.
  • 42 U.S.C. § 290dd-3 and ee-3; 42 C.F.R. § 2.11. 46.42 U.S.C. § 1320d–1.
  • 42 U.S.C. § 1320d-1 Sections 1176 and 1177; 42 U.S.C. 1320d–5.
  • Section 1174(a); 42 U.S.C. 1320d–3.
  • 478 S.E.2d 846 (S.C. 1996).
  • 663 N.E.2d 1039 (III. App. 3 Dist. 1996).
  • Cause No. 932–00078 (Circuit Court for the City of St. Louis (1993)).
  • 72 F.3d 1133 (3rd Cir. 1995).

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