Missouri SB984 modifies pharmacy benefit manager regulations, including audit processes, recoupment rules, and transparency requirements.
Missouri SB984 modifies provisions relating to pharmacy benefit managers by establishing new rules for audits, recoupment, and transparency. Audits must be conducted by entities not affiliated with pharmacy benefits managers, and certain errors will not be grounds for recoupment. Recoupment is limited to specific circumstances and must follow a defined process. Pharmacy benefits managers must provide detailed pharmacy claims data to plan sponsors and disclose certain pricing information.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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