Michigan HB5303 modifies Medicaid managed care contracts to include specific pharmacy reimbursement rules.

Michigan HB5303 amends Medicaid managed care contracts to ensure specific pharmacy reimbursement rules for pharmacies with up to seven retail outlets. It mandates a reimbursement methodology for brand and generic drugs, ensuring the lesser of certain costs is used when national averages are unavailable. The bill also prohibits pharmacy benefit managers from receiving any portion of the professional dispensing fee and requires transparency in administrative fees.

Michigan HB5303 modifies Medicaid managed care contracts to include specific pharmacy reimbursement rules.

Michigan HB5303 amends Medicaid managed care contracts to ensure specific pharmacy reimbursement rules for pharmacies with up to seven retail outlets. It mandates a reimbursement methodology for brand and generic drugs, ensuring the lesser of certain costs is used when national averages are unavailable. The bill also prohibits pharmacy benefit managers from receiving any portion of the professional dispensing fee and requires transparency in administrative fees.