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40 Pa. Cons. Stat. § 4503. Definitions: Preliminary Provisions – Pennsylvania
Introduced:    Status: Enacted
Definitions related to the Pharmacy Audit Integrity and Transparency Act.
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40 Pa. Cons. Stat. § 4531. Multiple source generic list and reimbursement: Pbm Cost Transparency Requirements – Pennsylvania
Introduced:    Status: Enacted
Describes rules a PBM must meet in order to place a particular drug on a multiple source generic list.
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40 Pa. Cons. Stat. § 4532. Availability of multiple source generic list: Pbm Cost Transparency Requirements – Pennsylvania
Introduced:    Status: Enacted
Describes what must be included in contracts upon execution or renewal between a PBM and pharmacy.
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A 02007 (see companion bill S 01507) – New York
Introduced: 2019    Status: Enacted
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2019-2020 state fiscal year; extends and enhances the Medicaid drug cap and reduces unnecessary pharmacy benefit …

A 02836 (see companion bill S 02087) – New York
Introduced: 2019    Status: In Process
Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets forth definitions; provides for funds received by a pharmacy …

A 02836 (see companion bills S 02087 and S 06531) – New York
Introduced: 2019    Status: In Process
Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets forth definitions; provides for funds received by a pharmacy …

A 02970 (see companion bill S 01705) – New York
Introduced: 2019    Status: In Process
Implements the pharmacy benefit manager transparency act requiring disclosure and publishing of reports relating to pharmacy benefit managers.

A 10026 (see companion bill S 8384) – New York
Introduced: 2018    Status: Inactive / Dead
PHARMACY BENEFIT MANAGER TRANSPARENCY ACT: A pharmacy benefit manager shall notify a covered entity in writing of any activity, policy, practice, ownership, interest, or affiliation of the pharmacy benefit manager that presents a conflict on …

A 10215 (see companion bill S 8651) – New York
Introduced: 2018    Status: Inactive / Dead
Relates to access to appropriate drugs at reasonable prices, formulary exceptions, standing prior authorizations and external appeals; to access to retail pharmacies, prescription synchronization, limits on patient drug costs, explanations of benefits and rebates; to …

A 10985 (see companion bills S 8934 and A 2661) – New York
Introduced: 2018    Status: Inactive / Dead
PHARMACY BENEFIT MANAGEMENT AND THE PROCUREMENT OF PRESCRIPTION DRUGS: Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets …

A 2033 (see companion bill S 727) – New Jersey
Introduced: 2018    Status: Inactive / Dead
Would allow the Department of Banking and Insurance to regulate pharmacy benefit managers that fall under the category of organized delivery systems because they provide limited health care services. The bill also provides that a …

A 2214 (see companion bill S 2690; combined with A 3993) – New Jersey
Introduced: 2018    Status: In Process
PROHIBITS PHARAMCY BENEFIT MANAGERS FROM COLLECTING COPAYMENTS IN EXCESS OF CERTAIN AMOUNTS “CLAWBACKS”; REQUIRES CERTAIN LANGUAGE PROHIBITNG “GAG CLAUSES” IN CONTRACTS WITH PHARMACISTS: Prohibits a pharmacy benefits manager, in connection with any contract or arrangement …

A 2661 (see companion bills A 10985 and S 8934) – New York
Introduced: 2018    Status: Inactive / Dead
PHARMACY BENEFIT MANAGEMENT AND THE PROCUREMENT OF PRESCRIPTION DRUGS: Provides for pharmacy benefit management and the procurement of prescription drugs to be dispensed to patients, or the administration or management of prescription drug benefits; sets …

A 3277 – New Jersey
Introduced: 2018    Status: In Process
REGULATES CERTAIN PRACTICES OF PHARMACY BENEFITS MANAGEMENT COMPANIES. The bill provides that a PBM shall not: (1) mandate that a covered person use a specific retail pharmacy, mail-order pharmacy, specialty pharmacy, or other pharmacy practice …

A 3717 (see companion bill S 728) – New Jersey
Introduced: 2018    Status: In Process
PROHIBITS PHARMACY BENEFIT MANAGERS FROM MAKING CERTAIN RETROACTIVE REDUCTIONS IN CLAIM PAYMENTS TO PHARMACIES:  After the date of receipt of a clean claim for payment made by a pharmacy, a pharmacy benefits manager shall not …

A 3993 (see companion bill S 2690; combined with A 2214) – New Jersey
Introduced: 2018    Status: In Process
PROHIBITS PHARMACY BENEFIT MANAGERS FROM COLLECTING “CLAWBACK” COPAYMENTS; PROHIBITS “GAG CLAUSES” IN CONTRACTS WITH PHARMACISTS; PROVIDES CERTAIN PENALTES. A pharmacy benefits manager, in connection with any contract or arrangement with a private health insurer, prescription …

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