Establishes duties for pharmacy benefit managers in Massachusetts, including duties of care, good faith, and transparency to enrollees, health.

The bill sets forth duties for pharmacy benefit managers in Massachusetts, including duties of care, good faith, and transparency. It mandates that pharmacy benefit managers provide services related to formulary design, utilization management, and grievances and appeals in a transparent manner to enrollees. It also requires pharmacy benefit managers to disclose all conflicts of interest to enrollees, health benefit plans, and providers. The commissioner is tasked with adopting regulations to define the scope of these duties.

Establishes duties for pharmacy benefit managers in Massachusetts, including duties of care, good faith, and transparency to enrollees, health.

The bill sets forth duties for pharmacy benefit managers in Massachusetts, including duties of care, good faith, and transparency. It mandates that pharmacy benefit managers provide services related to formulary design, utilization management, and grievances and appeals in a transparent manner to enrollees. It also requires pharmacy benefit managers to disclose all conflicts of interest to enrollees, health benefit plans, and providers. The commissioner is tasked with adopting regulations to define the scope of these duties.