Legislation


Mo. Rev. Stat. § 376.387 – Missouri

Status: Enacted
Link: http://www.senate.mo.gov/18info/pdf-bill/tat/SB826.pdf

Makes it so no pharmacy benefits manager (PBM) shall include in a contract entered into or modified after August 28, 2018, with a pharmacist or pharmacy a provision requiring a covered person to make a payment for a prescription drug at the point of sale in an amount that exceeds the lesser of the co-payment under the health benefit plan or the amount an individual would pay if payment was in cash. A pharmacy or pharmacist shall have the right to provide to a covered person information regarding the amount of the covered person’s cost share for a prescription and other information specified in the act. Additionally, no PBM shall, directly or indirectly, charge or hold a pharmacist or pharmacy responsible for any fee amount related to a claim that is not known at the time of adjudication, unless the amount is the result of improperly paid claims or the charges for administering a plan.


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