Massachusetts S687 aims to ensure fair and reasonable pharmacy networks by penalizing steering practices.
Massachusetts S687 amends existing law to ensure access to fair and reasonable pharmacy networks. It defines "steering" as a practice by pharmacy benefit managers that directs prescriptions to pharmacies in which they have an ownership interest. Health plans whose pharmacy benefit managers engage in steering will face a surcharge of 10 percent on the aggregate dollar amount reimbursed to pharmacies. The bill also mandates that pharmacy benefit managers provide reasonably adequate and accessible networks, ensuring convenient patient access to pharmacies.
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- Critical Issues
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