Establishes audit and payment requirements for pharmacy benefit managers.
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Progress
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- Introduced
- Passed Senate
- Passed General Assembly
- To Governor
- Became Law
Overview
This bill aims to increase transparency and accountability in how pharmacy benefit managers (PBMs) operate. It mandates that PBMs provide detailed information about their pricing practices, including drug costs and wholesaler information, and establish a process for pharmacies to access this data. The bill also requires PBMs to promptly process pharmacy claims and establish an internal appeal mechanism for disputes, while also granting health plans greater access to PBM data for auditing purposes.
Bill text
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