SB 103 (see companion bill HB 276) – Georgia

Status: Enacted
Year Introduced: 2017

RELATING TO THE REGULATION AND LICENSURE OF PHARMACY BENEFIT MANAGERS: authorizes the Commissioner of Insurance to promulgate rules and regulations to prohibit PBMs from requiring the use of mail-order pharmacies. Would ban the PBM practice that prohibits a pharmacist or pharmacy from providing an insured patient information regarding the amount of the patient’s prescription drug cost share and the clinical efficacy of a lower priced alternative drug if one is available. Neither pharmacy nor pharmacist shall be penalized for sharing information or for selling a more affordable alternative if one is available. Would prohibit PBMs charging or collecting from an insured a copayment that exceeds the total submitted charges by the network pharmacy for which the pharmacy is paid.

Enacted at Ga. Code Ann. § 33-64-10, Ga. Code Ann. § 33-64-11. 

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