H 5044 – South Carolina

Status: Inactive / Dead
Year Introduced: 2018
Link: http://www.scstatehouse.gov/billsearch.php?billnumbers=5044&session=122&summary=B

PHARMACY BENEFIT MANAGERS: Would prohibit pharmacy benefit managers from prohibiting or penalizing a pharmacist for providing an insured with information on the amount of the insured cost share for a prescribed drug and the clinical efficacy of an alternative drug. When selling an alternative drug, network pharmacies must be allowed to offer and provide direct delivery services. Pharmacy benefit managers could not require patients to use mail order pharmacies, charge a copayment that exceeds the drug acquisition cost, charge pharmacies a claims adjudication fee, or recoup duplicate pharmacy payments. It would require pharmacy benefit managers to disclose data sources used for drug reimbursement amounts and update reimbursement information at least every seven days. Would require pharmacy benefit managers to ensure that dispensing fees are not included in the drug component reimbursement and to reimburse a provider within seven business days.

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