HB 2107: pharmacies; practices; pharmacy benefits managers |
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PRIME SPONSOR: Representative Syms, LD 28 BILL STATUS: House Engrossed
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Relating to prohibitions on a PBM.
Provisions
1. Prohibits a PBM from:
a. Restricting a pharmacist or pharmacy from providing information to an insured individual regarding the amount of their cost share for a prescription drug or the clinical efficiency of an available alternative drug;
i. Specifies that a PBM may not penalize a pharmacy or pharmacist for disclosing or selling the alternative prescription drug.
b. Requiring a pharmacy or pharmacist to charge or collect a copayment from an insured individual that exceeds the total submitted charges by the network pharmacy. (Sec. 1)
2. Stipulates that federal law applies if there are any conflicts regarding PBM prohibitions. (Sec. 1)
3. Applies the prohibitions to all contracts between a PBM and a pharmacy that are entered into or renewed after the effective date. (Sec. 1)
4. Permits this act to be known as the "Prescription Drug Pricing Patient Protection Act." (Sec. 2)
5. Defines cost share and pharmacy benefits manager. (Sec. 1)
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9. Fifty-third Legislature HB 2107
10. Second Regular Session Version 3: House Engrossed
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