Massachusetts H4493 aims to ensure access to prescription medication and community pharmacies by regulating pharmacy benefit managers.
Massachusetts H4493 mandates that pharmacy benefit managers must include ingredient costs in contracts with pharmacies, ensuring these costs meet or exceed those used by the Massachusetts Medicaid Program. The bill prohibits pharmacy benefit managers from charging pharmacies for credentialing and from engaging in pharmacy steering practices. It also requires pharmacy benefit managers to allow any licensed Massachusetts pharmacy to provide medications, including specialty medications, if they meet the required service standards.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.