INSURANCE/HEALTH: Provides relative to formulary placement and cost-sharing requirements for certain generic drugs and biosimilars (EN NO IMPACT See Note)
Signed by the Governor. Becomes Act No. 907.
Summary
The law defines a drug’s “net cost” after rebates and requires insurers to disclose detailed rebate information for each product. It protects patients who are already taking a reference listed drug by prohibiting insurers from moving the drug to a higher cost tier, raising cost‑sharing, or adding new restrictions unless a doctor agrees or a medical‑necessity exception is granted. The commissioner must publish an annual report on these formulary changes while keeping proprietary data confidential.
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