An Act amending the act of November 21, 2016 (P.L.1318, No.169), known as the Pharmacy Audit Integrity and Transparency Act, in preliminary provisions, further providing for definitions; and, in pharmacy benefits manager contracts, providing for State pharmacy benefits manager.

Summary

The bill adds a new State Pharmacy Benefits Manager (SPBM) that will administer all Medicaid pharmacy benefits after a competitive selection by the Department of Human Services. It also updates the legal definitions of “specialty drug” and “spread pricing.” The changes aim to increase transparency, prevent conflicts of interest, and ensure Medicaid enrollees can use any appropriate pharmacy.

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