A5012

Requires certain standards be established for contracts between pharmacy benefits managers and health benefits plans.

Introduced·5/7/26
Introduced Text

Establishes standards for contracts between pharmacy benefits managers and health benefits plans in New Jersey.

The bill mandates that health benefits plans allow any pharmacy meeting standard contract terms to participate as a network pharmacy. The Commissioner of Banking and Insurance reviews these terms, focusing on current network pharmacy contracts and the sufficiency of reimbursement and dispensing fees. This act applies to contracts initiated or renewed after its enactment.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Financial Institutions and Insurance Committee
Next
Committee decision

Sponsors

DD
2
0
Democratic CaucusRepublican Caucus

History

May 7

Assembly

Introduced, Referred to Assembly Financial Institutions and Insurance Committee