This chapter applies to pharmacy benefit managers as defined in RCW 19.340.010.

(1) Specifically, this chapter applies to the actions of pharmacy benefit managers regarding contracts with pharmacies on behalf of an insurer, a third-party payor, or the prescription drug purchasing consortium established under RCW 70.14.060 in regard to:

(a) Fully insured health plans; and

(b) Medicaid plans. However, the appeal requirements of RCW 19.340.100 do not apply to medicaid plans.

(2) This chapter does not apply to the actions of pharmacy benefit managers acting as third-party administrators regarding contracts with pharmacies on behalf of an insurer, a third-party payor, or the prescription drug purchasing consortium established under RCW 70.14.060 in regard to:

(a) Self-insured health plans; and

(b) Medicare plans.

(1) This chapter applies to health care benefit managers as defined in RCW 48.200.020.

(2) This chapter does not apply to the actions of health care benefit managers providing services to, or acting on behalf of:

(a) Self-insured health plans;

(b) Medicare plans;

(c) Medicaid; and

(d) Union plans.