HB938

Louisiana HB938 regulates pharmacy benefit managers by setting standards for reimbursement, restricting income and rebates, requiring disclosure.

Louisiana HB938 amends pharmacy benefit manager regulations by requiring reimbursement of pharmacies at not less than the National Average Drug Acquisition Cost (NADAC) plus the Medicaid dispensing fee. It prohibits reimbursement below acquisition cost and defines "acquisition cost," "adjustment factor," and "claim payment error." The bill restricts pharmacy benefit manager income to flat-fee service payments and performance bonuses, prohibits retention of manufacturer rebates, and requires all prohibited income to be passed through to client health benefit plans.