The Patient and Provider Protection Act regulates pharmacy benefits managers and pharmacy services administrative organizations in New Jersey.
The Patient and Provider Protection Act establishes requirements for pharmacy benefits managers, including a fiduciary duty to the long-term health outcomes of covered persons. It prohibits pharmacy benefits managers from using misleading marketing information and from excluding generic drugs from coverage. The bill mandates that pharmacy benefits managers reimburse pharmacies at specific rates and prohibits them from prohibiting independent pharmacies from offering drugs at the same price as contracted or network pharmacies.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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