Massachusetts H1326 aims to ensure access to prescription medications by regulating pharmacy benefits managers.

Massachusetts H1326 amends Chapter 176D to ensure access to prescription medications by regulating pharmacy benefits managers. The bill mandates that pharmacy benefits managers or covered entities must ensure the maximum allowable cost for drugs and medical products is equal to or greater than the pharmacies' acquisition cost. It requires these entities to make updated cost lists available to pharmacies and to adjust drug costs retroactively if a pharmacy's appeal is valid. The bill also prohibits retroactive discounts and mandates that pharmacies be reimbursed within two business days.

Massachusetts H1326 aims to ensure access to prescription medications by regulating pharmacy benefits managers.

Massachusetts H1326 amends Chapter 176D to ensure access to prescription medications by regulating pharmacy benefits managers. The bill mandates that pharmacy benefits managers or covered entities must ensure the maximum allowable cost for drugs and medical products is equal to or greater than the pharmacies' acquisition cost. It requires these entities to make updated cost lists available to pharmacies and to adjust drug costs retroactively if a pharmacy's appeal is valid. The bill also prohibits retroactive discounts and mandates that pharmacies be reimbursed within two business days.