prohibiting network exclusion for pharmacies that refuse to dispense a prescription of the PBM reimbursement that is below the pharmacy's acquisition cost.

Summary

The bill amends New Hampshire’s managed‑care law so that contracts between carriers or pharmacy‑benefit managers and pharmacies must list the pricing sources used to set reimbursement rates and provide a clear appeal process when those rates are lower than the pharmacy’s acquisition cost. Pharmacies may decline to fill such prescriptions and must tell patients to contact the carrier for other options. Medicaid plans are exempt from these requirements.

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

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