SB1390 mandates transparency and fair pricing in pharmacy benefit manager contracts for Illinois Medicaid.
SB1390 amends the Illinois Public Aid Code to ensure transparency and fair pricing in contracts between the Department of Healthcare and Family Services, managed care organizations, and pharmacy benefit managers. The bill prohibits contracts with pharmacy benefit managers that do not use a specified reimbursement methodology, disclose administrative fees, and agree to certain fee limitations. It also requires pharmacy benefit managers to submit detailed data annually, including prescription counts, drug costs, rebates, and administrative fees.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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