Status: Enacted
Year Enacted: 2018
Requires PBMs to engage in activities related to price transparency, including updating maximum allowable pricing information, and allowing pharmacists to disclose whether cost sharing obligations exceed the drug’s retail price.
Fla. Stat. § 641.314. Pharmacy benefit manager contracts: Health Maintenance Organization Act – Florida
Status: Enacted
Year Enacted: 2018
Requires PBMs to engage in activities related to price transparency, including updating maximum allowable pricing information, and allowing pharmacists to disclose whether cost sharing obligations exceed the drug’s retail price.
Status: Enacted
Year Enacted: 1985
Health maintenance organizations, consisting of prepaid health care plans are developing rapidly in many communities. Through these organizations, structured in various forms, health care services are provided directly to a group of people who make […]
Ga. Code Ann. § 33-64-1. Definitions: Regulation and Licensure of Pharmacy Benefits Managers – Georgia
Status: Enacted
Year Enacted: 2010
Section provides definitions for Chapter 64 on Regulation and Licensure of Pharmacy Benefits Managers (sections 33-64-1 through 33-64-13).
Status: Enacted
Year Enacted: 2017
Section describes what pharmacy benefit managers shall and shall not do regarding the administration of claims.
Status: Enacted
Year Enacted: 2017
Prohibits pharmacy benefits managers from requiring group or blanket accident and sickness insureds to use a mail-order pharmaceutical distributor, including a mail-order pharmacy.
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 […]
Status: Enacted
Year Enacted: 1980
A pharmacy benefit manager that reimburses a contracting pharmacy for a drug on a maximum allowable cost basis shall comply with the requirements of this section. (b) The pharmacy benefit manager shall include the following […]
Status: Enacted
Year Enacted: 2017
This chapter shall apply to any pharmacy benefit manager that provides pharmacy benefit management services to covered persons who are residents of the State.
Status: Enacted
Year Enacted: 2016
A pharmacist who dispenses a biological product shall communicate to the prescriber the name and manufacturer of the drug within five business days following the dispensing of the biological product. Communication shall occur via an […]
Status: Enacted
Year Enacted: 2013
As used in this chapter, “insurer” includes a pharmacy benefit manager.
Status: Enacted
Year Enacted: 2018
Statute gives pharmacists the right to provide a covered individual with information concerning the amount of the covered individual’s cost share for a prescription drug. Pharmacists shall not be prohibited by a pharmacy benefits manager […]
Status: Enacted
Year Enacted: 2014
Health carriers and pharmacy benefits managers shall make available on their internet sites prior authorization requirements and restrictions, including a list of drugs that require prior authorization.
Status: Enacted
Year Enacted: 2007
The commissioner may require a pharmacy benefits manager to submit information to the commissioner related to the pharmacy benefits manager’s pricing methodology for maximum reimbursement amount.
Status: Enacted
Year Enacted: 2018
Co-payments applied by a health carrier for a prescription drug may not exceed the total submitted charges by the network pharmacy.
Status: Enacted
Year Enacted: 2016
These statutes place a limit on pharmacy benefits managers’ ability to place a drug on a MAC list.
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