Massachusetts H1234 regulates pharmacy benefit managers by setting cost-sharing limits, prohibiting spread pricing, and requiring transparency in.

Massachusetts H1234 amends the state's laws to regulate pharmacy benefit managers (PBMs). The bill prohibits PBMs from charging insured individuals more than the total contracted amount for which a pharmacy is paid. It also mandates that PBMs must pass at least 80% of estimated rebates to insured individuals by reducing their cost-sharing at the point of sale. PBMs are prohibited from engaging in spread pricing and must provide pharmacies with information on maximum allowable costs and National Drug Codes.

Massachusetts H1234 regulates pharmacy benefit managers by setting cost-sharing limits, prohibiting spread pricing, and requiring transparency in.

Massachusetts H1234 amends the state's laws to regulate pharmacy benefit managers (PBMs). The bill prohibits PBMs from charging insured individuals more than the total contracted amount for which a pharmacy is paid. It also mandates that PBMs must pass at least 80% of estimated rebates to insured individuals by reducing their cost-sharing at the point of sale. PBMs are prohibited from engaging in spread pricing and must provide pharmacies with information on maximum allowable costs and National Drug Codes.