To place a cap on costs for epinephrine cartridge injectors. This bill (1) requires certain individual and group health insurance policies that cover outpatient prescription drugs to cover at least one epinephrine cartridge (dual-pack) injector (e.g., EpiPen) and (2) caps an insured’s cost sharing (e.g., copayment, coinsurance, or deductible) for the injector at $25. Additionally, the bill requires each contract between a health carrier (e.g., insurer or HMO) and a pharmacy benefits manager (PBM) that requires the PBM to administer a health care plan’s pharmacy benefits on the carrier’s behalf to also require the PBM to include at least one
covered epinephrine cartridge injector in the lowest cost-sharing tier if it uses a tiered prescription drug formulary.