Missouri HB1975 modifies pharmacy benefits manager regulations to protect patient choice and ensure fair reimbursement.
Missouri HB1975 modifies provisions relating to pharmacy benefits managers to safeguard patient choice and ensure fair reimbursement. The bill prohibits pharmacy benefits managers from imposing monetary advantages or penalties that affect a covered person's choice of pharmacy or pharmacist. It mandates that pharmacy benefits managers reimburse pharmacies and pharmacists at least ninety percent of the MO HealthNet professional dispensing fee. The bill also establishes a process for pharmacies to appeal reimbursement decisions within fourteen days.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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