40 Pa. Stat. and Pa. Cons. Stat. §§ 4501 through 4503, 4531 through 4535, 4551 through 4562: Pharmacy Audit Integrity and Transparency Act – Pennsylvania
Status: Enacted Year Enacted: 2016
Governs PBM cost transparency requirements.
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A 01924 – New York
Introduced: 2019 Status: Inactive / Dead
Authorizes a pharmacist to substitute a brand name prescription drug for the generic equivalent of such drug if requested to do so by the patient and record the request.
A 04521 – New York
Introduced: 2019 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 236 (see companion bill S 5471) – New York
Introduced: 2017 Status: Inactive / Dead
REQUIRES THE COMMISSIONER OF HEALTH TO ESTABLISH AND PUBLISH A LIST OF GENERIC DRUG PRODUCTS: The commissioner shall establish and publish a list of drug products matched to brand name drugs with which they have …
A 832 (see companion bill S 3231) – New York
Introduced: 2021 Status: In Process
Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health …
A 999 (see companion bill S 3746) – New Jersey
Introduced: 2018 Status: Inactive / Dead
Restricts certain practices by carriers and pharmacy benefits managers related to medications and drugs. Place certainrequirements on carriers and pharmacy benefits managers in situations in which a covered person’s prescribed medication is switched to a …
AB 114 (see companion bill SB 100) – Wisconsin
Introduced: 2019 Status: Inactive / Dead
Registration and regulation of pharmacy benefit managers, drug pricing transparency, granting rule-making authority, and providing a penalty. The bill requires pharmacy benefit managers to provide a reasonably adequate and accessible network of pharmacies. The bill …
Ariz. Rev. Stat. § 32-1963.01. Substitution for prescription drugs or biological products; requirements; label; definitions: Pharmacy — Regulation – Arizona
Status: Enacted Year Enacted: 2000
Allows pharmacists to substitute generics. Must disclose price difference to consumer if they choose not to substitute.
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Cal. Bus. & Prof. Code §§ 4050 through 4068: Pharmacy — Scope of Practice and Exemptions – California
Status: Enacted Year Enacted: 1996
Notwithstanding any other law, a pharmacist may authorize the initiation of a prescription, pursuant to Section 4052.1, 4052.2, 4052.3, or 4052.6, and otherwise provide clinical advice, services, information, or patient consultation, as set forth in …
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D.C. Code § 48-855.01. Definitions: Specialty Drug Copayment Limitation – District of Columbia
Status: Enacted Year Enacted: 2017
Definitions of relevant network provider and asepects of benefit design in D.C. health care system.
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D.C. Code § 48-855.02. Specialty drug copayment or coinsurance limitation: Specialty Drug Copayment Limitation – District of Columbia
Status: Enacted Year Enacted: 2017
A health benefit plan that provides coverage for prescription drugs shall ensure that a required copayment or coinsurance applicable to a drug on a specialty tier does not exceed $150 per month for up to …
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Del. Code tit. 18, § 3335A through 3337A: Prior Authorization of Emergency Prescriptions and Prescriptions for Chronic or Long-Term Conditions – Delaware
Status: Enacted Year Enacted: 2018
A contract between a pharmacy benefits manager and a pharmacy may not prohibit a pharmacy or pharmacist from doing any of the following.
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Del. Code tit. 24, §§ 2501 through 2506, 2549 through 2550: Pharmacy – Delaware
Status: Enacted Year Enacted: 1992
“Practice of pharmacy” means the interpreting, evaluating, and dispensing of a practitioner’s or prescriber’s order. The practice of pharmacy includes, but is not limited to, the proper compounding, labeling, packaging, and dispensing of a drug …
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Ga. Code Ann. § 33-64-11. Prohibited activities of pharmacy benefits manager: Regulation and Licensure of Pharmacy Benefits Managers – Georgia
Status: Enacted Year Enacted: 2017
A pharmacy benefits manager shall be proscribed from prohibiting a pharmacist or pharmacy from providing an insured individual information on the amount of the insured’s cost share for such insured’s prescription drug and the clinical …
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H 1055 (see companion bill S 640) – Massachusetts
Introduced: 2019 Status: Inactive / Dead
Relative to access to generic medications. Financial Services.
H 1104 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
Relative to access to generic medications. Financial Services.