Modifies pharmacy benefits manager practices for drug pricing and reimbursement
Modifies provisions relating to pharmacy benefits managers by requiring them to update maximum allowable cost pricing for drugs at least every seven days. Prohibits managers from limiting patient choice of pharmacy or imposing penalties. Requires reimbursement for drugs at updated pricing and allows appeals of pricing decisions. Prohibits managers from retaliating against pharmacies for appealing. Requires equal reimbursement for in-state pharmacies and affiliates. Repeals and replaces certain sections of law regarding pharmacy benefits managers.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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