South Carolina bill H4791 mandates pharmacies to cooperate with federal and state acquisition cost surveys and sets reimbursement guidelines for.
South Carolina bill H4791 amends the state code to require pharmacies to cooperate with federal and state acquisition cost surveys. It also establishes guidelines for pharmacy benefits managers (PBM) when reimbursing pharmacies and pharmacists for prescription drugs and pharmacy services. If a PBM reimburses below the required minimum, a pharmacy or pharmacist can file a complaint with the Department of Insurance. If upheld, the PBM must pay twice the amount of the insufficiency and make the change effective for all similarly situated pharmacies.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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