Utah HB0527 amends pharmacy pricing laws, defining terms and prohibiting spread pricing by pharmacy benefit managers.

Utah HB0527 amends pharmacy pricing laws by defining key terms such as "spread pricing" and "maximum allowable cost." The bill prohibits pharmacy benefit managers from engaging in spread pricing, where they charge different amounts to health benefit plans and pharmacies for the same services. It also amends provisions related to drug maximum allowable cost, including regarding lists, appeals, and claims. The bill allows entities contracted with a pharmacy benefit manager to audit the manager's contract performance once per year.

Utah HB0527 amends pharmacy pricing laws, defining terms and prohibiting spread pricing by pharmacy benefit managers.

Utah HB0527 amends pharmacy pricing laws by defining key terms such as "spread pricing" and "maximum allowable cost." The bill prohibits pharmacy benefit managers from engaging in spread pricing, where they charge different amounts to health benefit plans and pharmacies for the same services. It also amends provisions related to drug maximum allowable cost, including regarding lists, appeals, and claims. The bill allows entities contracted with a pharmacy benefit manager to audit the manager's contract performance once per year.