California SB41 regulates pharmacy benefit managers, requiring financial reporting, prohibiting spread pricing, and limiting cost-sharing for.
California SB41 mandates that pharmacy benefit managers submit financial statements and reports to the Department of Managed Health Care. It prohibits spread pricing and requires that health care service plans and insurers calculate cost-sharing for prescription drugs based on the net price paid by the plan or insurer. The bill also restricts pharmacy benefit managers from imposing certain conditions on nonaffiliated pharmacies and requires them to disclose specific information to purchasers. Violations of the act are subject to civil penalties.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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