S 1765 – New JerseyStatus: Inactive / Dead
Year Introduced: 2020
Requires pharmacy benefits manager providing services within Medicaid program to implement pass-through pricing model and to disclose certain information to DHS and managed care organizations. The bill requires a pharmacy benefits manager providing services within Medicaid program to implement a pass-through pricing model. As defined in the bill, a “pass-through pricing model” is a model in which a managed care organization reimburses the pharmacy benefits manager for prescription drugs at a rate equal to the amount paid by the pharmacy benefits manger to the pharmacy on behalf of the managed care organization, plus an administrative fee based on a predetermined metric, such as per prescription or per member. Additionally, the bill requires a pharmacy benefits manager to disclose certain information to the Department of Human Services and the applicable managed care organization. A similar law recently adopted in New York is projected to save the State at least $43 million in Medicaid dollars by ensuring that pharmacy benefits managers do not charge managed care organizations more for prescription drugs than what they actually pay to pharmacies.
Return to Database Search
© 2018-2019 The SLIHCQ Database. Initial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.