Relates to payments by a pharmacy benefit manager to participating pharmacies

Summary

The bill forces pharmacy benefit managers to reimburse participating pharmacies at the national average drug acquisition cost (NADAC) or the pharmacy’s own acquisition cost, whichever is higher, and to add a professional dispensing fee that is at least the fee paid under the state medical assistance program. It also bars PBMs from substituting drugs without the prescriber’s consent and requires an appeals process for pricing disputes. The measure aims to ensure pharmacies receive fair payment and protect patients from reduced access.

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

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