Expands pharmacy benefit management services to include durable medical equipment.
This bill expands pharmacy benefit management services to include the management or administration of benefits relating to durable medical equipment. It defines "durable medical equipment" and relates to pharmacy or durable medical equipment provider audits by pharmacy benefit managers. The bill also includes provisions for appeals and audits, ensuring that pharmacy benefit managers do not unreasonably delay processing requests or restrict health care providers from communicating cost options to subscribers.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.