Establishes a state pharmacy benefit manager for Medicaid beneficiaries in Hawaii.
The bill requires the Department of Human Services to establish or contract with a third-party administrator to serve as the state pharmacy benefit manager for Medicaid beneficiaries. The state pharmacy benefit manager will administer all pharmacy benefits for Medicaid beneficiaries enrolled with a Medicaid managed care organization. The bill sets reimbursement methodologies and dispensing fees, prohibits discrimination against certain pharmacies, and mandates the use of a single preferred drug list.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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