Pharmacists Fight Back in Medicare and Medicaid Act amends Medicare and Medicaid to set requirements for pharmacy benefit managers (PBMs) and.
The Pharmacists Fight Back in Medicare and Medicaid Act amends titles XI, XVIII, and XIX of the Social Security Act to establish requirements for pharmacy benefit managers (PBMs) and prescription drug plans under Medicare and Medicaid. The bill mandates that PBMs and sponsors comply with pharmacy payment requirements, rebate pass-through requirements, and reporting requirements. It also prohibits PBMs from engaging in steering practices. The bill introduces criminal and civil monetary penalties for noncompliance.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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