HB 2688 (see companion bill SB 2377) – Tennessee

Status: Inactive / Dead
Year Introduced: 2020
Link: http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB2688&GA=111

As introduced, enacts the “Modernizing Medication Utilization Act.” Beginning January 1, 2021, health plans, pharmacy benefits managers, and pharmacies must make available a patient’s specific prescription cost and benefit information in real-time for usage in a healthcare provider’s prescribing or electronic health record system at the point of prescribing and at the point of dispensing; Health plans, healthcare providers, pharmacy benefits managers, and pharmacies must partner with intermediaries, such as real-time networks, switches, and translation services, to deliver accurate, patient-specific prescription benefit and coverage, or cash pay, information to prescribing and electronic health record systems; Based on patient-specific benefit and cost information provided in real-time through a prescribing or electronic health record system, healthcare providers must provide information to the patient about the most therapeutically appropriate and lowest cost prescription medication available to the patient at the time of prescribing. This bill requires that prescription cost information displayed in a prescribing or electronic health record system at the point of prescribing include all options available to the patient, including cost options available at the patient’s pharmacy of choice; any specialty pharmacy cost, as applicable; and any cash options. This bill provides that health plans and pharmacy benefit managers may not prohibit the displaying of cost, benefit, and coverage information at the point of prescribing or dispensing that reflects other choices, such as cash price, patient assistance, and support programs, and the cost available at the patient’s pharmacy of choice.


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