Idaho S1367 amends pharmacy benefit manager regulations, setting minimum dispensing fees and prohibiting certain fees and practices.
Idaho S1367 amends existing law to establish provisions regarding dispensing fees and to establish duties and restrictions pertaining to pharmacy benefit managers and third-party payers. It sets a minimum professional dispensing fee for independent pharmacies at $12.35, subject to annual inflation adjustments. The bill prohibits pharmacy benefit managers from conditioning participation in one pharmacy network based on participation in another. It also prohibits certain fees, such as claim-related fees and enrollment fees, and requires transparency in pricing and rebate information.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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