HB 2196
pharmacists; pharmacies; reimbursement costs; appeals
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- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to increase transparency and fairness in how pharmacy benefit managers (PBMs) reimburse pharmacies for prescription drugs. It requires PBMs to reimburse pharmacies at least the actual cost of the drugs, establishes a process for pharmacies to appeal reimbursement rates if they believe they are too low, and mandates that PBMs provide information about lower-cost drug sources if they lose an appeal. The bill also creates a fee for administering the appeal process and defines key terms related to PBMs and pharmacies.
Sponsors
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Primary sponsor
Selina Bliss
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