RX TRANSPARENCY ACT: The Rx transparency act requires that PBMs contracting with the state (employee) health care benefits program act as a fiduciary and disclose any payment or benefit received for the dispensing of a prescription drug. The PBM would also disclose all financial and utilization information requested by the program. Any payment or benefit received by the PBM for the dispensing of a prescription drug will be passed-through in full to the state.