; and (2) any such other remuneration is a flat fee-based service fee not contingent on total volume of sales that a manufacturer of prescription drugs pays to an entity that provides pharmacy benefits management services. (d) Definitions In this section: (1) Entity that provides pharmacy benefits management services The term entity that provides pharmacy benefits management services means— (A) any entity that, pursuant to a written agreement with a group health plan, directly or through an intermediary— (i) acts as a price negotiator on behalf of the plan; or (ii) manages the prescription drug benefits provided by the plan, which may include the processing and payment of claims for prescription drugs, the performance of drug utilization review, the processing of drug prior authorization requests, the adjudication of appeals or grievances related to the prescription drug benefit, contracting with network pharmacies, controlling the cost of covered prescription drugs, or the provision of related services; or (B) any entity that is owned, affiliated, or related under a common ownership structure with an entity described in subparagraph (A). (2) Net price The term net price , with respect to a prescription drug, means the final price paid by a group health plan (or entity that provides pharmacy benefits management services on behalf of such a plan) after applying any rebates and other remuneration under the plan from drug manufacturers during the plan year. (e) Specification A health insurance plan will not fail to be treated as an HDHP for complying with the cost-sharing cap in this section. . (2) Clerical amendment The table of sections for subchapter B of chapter 100 of such Code is amended by adding at the end the following new item: Sec. 9826. Requirements with respect to cost-sharing for highly rebated drugs. .