HB866

Louisiana HB866 prohibits pharmacy benefit managers and managed care plans from reducing pharmacy reimbursements.

Louisiana HB866 enacts provisions to restrict and prohibit pharmacy benefit managers and managed care plans from reducing pharmacy reimbursements. The law mandates that these entities use a pass-through pricing model for all covered claims submitted in the state. It prohibits methods such as spread pricing, steering, and effective rate pricing. Additionally, the law outlines specific reimbursement formulas, including the use of the National Average Drug Acquisition Cost (NADAC) plus the state's professional dispensing fee.