Massachusetts S2637 mandates health plans and pharmacy benefit managers to provide cost, benefit, and coverage data to patients and their.

Massachusetts S2637 requires health plans and pharmacy benefit managers to furnish cost, benefit, and coverage data to patients, enrollees, their prescribing practitioners, or personal representatives upon request. This includes current eligibility information, a list of clinically-appropriate alternatives, cost-sharing information, and utilization management requirements. The data must be provided in real-time, in the same format as the request, and in established industry standards.

Massachusetts S2637 mandates health plans and pharmacy benefit managers to provide cost, benefit, and coverage data to patients and their.

Massachusetts S2637 requires health plans and pharmacy benefit managers to furnish cost, benefit, and coverage data to patients, enrollees, their prescribing practitioners, or personal representatives upon request. This includes current eligibility information, a list of clinically-appropriate alternatives, cost-sharing information, and utilization management requirements. The data must be provided in real-time, in the same format as the request, and in established industry standards.