Ensures access to prescription medication and community pharmacies by regulating pharmacy benefit managers.
This bill aims to ensure access to prescription medication and community pharmacies by regulating pharmacy benefit managers. It mandates that pharmacy benefit managers establish a clearly defined process for pharmacies to contest drug costs, ensuring that ingredient costs are equal to or greater than those used by the Massachusetts Medicaid Program. The bill also prohibits pharmacy steering and requires pharmacy benefit managers to provide annual reports on denied pharmacy appeals.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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