HF 544 (see companion bill SF 482) – Minnesota

Status: In Process
Year Introduced: 2023
Link: https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF0544&ssn=0&y=2023

This bill prohibits a pharmacy benefit manager (PBM) or health carrier from requiring that a clinician-administered drug or its administration be covered as a pharmacy benefit. The bill also sets other requirements that PBMs and health carriers must comply with when providing coverage and reimbursement for clinician-administered drugs. This bill in part addresses what is sometimes called “white bagging” — a process under which a specialty pharmacy ships a prescription directly to a health care provider, to be held by that provider until the patient receives treatment from the provider. This can be contrasted with a “buy-and-bill” process under which a health care provider directly purchases the prescription drug and then administers that drug to the patient.

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