Rhode Island S2466 ensures fair reimbursement for non-affiliated pharmacies and prohibits discrimination against them by pharmacy benefit managers.
Rhode Island S2466 mandates fair reimbursement from pharmacy benefit managers to non-affiliated pharmacies and pharmacists, ensuring they receive the same compensation as affiliated ones for the same drugs or services. It prohibits pharmacy benefit managers from imposing terms that favor affiliated pharmacies, such as lower reimbursement rates. The Office of the Health Insurance Commissioner is tasked with enforcing these provisions, including requiring transparency in reimbursement data. This act applies to all Medicaid managed care organizations and pharmacy benefit managers.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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