PBM Price Transparency and Accountability Act ensures accurate payments to pharmacies under Medicaid, prevents abusive spread pricing, and modernizes.

The PBM Price Transparency and Accountability Act amends titles XVIII and XIX of the Social Security Act to ensure accurate payments to pharmacies under Medicaid, prevent abusive spread pricing, and modernize pharmacy benefit manager (PBM) accountability under Medicare. It mandates PBMs to provide transparent pricing models, prohibits flat dispensing fees or reimbursement for ingredient costs, and requires PBMs to submit annual reports in standard formats.

PBM Price Transparency and Accountability Act ensures accurate payments to pharmacies under Medicaid, prevents abusive spread pricing, and modernizes.

The PBM Price Transparency and Accountability Act amends titles XVIII and XIX of the Social Security Act to ensure accurate payments to pharmacies under Medicaid, prevent abusive spread pricing, and modernize pharmacy benefit manager (PBM) accountability under Medicare. It mandates PBMs to provide transparent pricing models, prohibits flat dispensing fees or reimbursement for ingredient costs, and requires PBMs to submit annual reports in standard formats.