health insurance; pharmacy; reimbursement rates

Summary

The bill forces PBMs to pay local pharmacies no less than the national average acquisition cost for covered drugs, devices, or services. It also obligates PBMs to pass all manufacturer rebates to plan sponsors, disclose all management fees, and establish a clear appeal process for payment disputes. The goal is to protect pharmacists from underpayment and increase transparency in drug pricing.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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