Rhode Island H7189 mandates fair reimbursement for non-affiliated pharmacies and prohibits discrimination by pharmacy benefit managers.

Rhode Island H7189 amends the Pharmacy Freedom of Choice law to ensure fair pharmacy reimbursement and anti-discrimination practices. It requires pharmacy benefit managers to reimburse non-affiliated pharmacies and pharmacists at the same rate as affiliated ones, including all fees and adjustments. The bill also prohibits any contractual terms or methodologies that result in lower reimbursement for non-affiliated pharmacies. Additionally, it mandates transparency and compliance for Medicaid managed care organizations.

Rhode Island H7189 mandates fair reimbursement for non-affiliated pharmacies and prohibits discrimination by pharmacy benefit managers.

Rhode Island H7189 amends the Pharmacy Freedom of Choice law to ensure fair pharmacy reimbursement and anti-discrimination practices. It requires pharmacy benefit managers to reimburse non-affiliated pharmacies and pharmacists at the same rate as affiliated ones, including all fees and adjustments. The bill also prohibits any contractual terms or methodologies that result in lower reimbursement for non-affiliated pharmacies. Additionally, it mandates transparency and compliance for Medicaid managed care organizations.