AN ACT RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE--FAIR COMPETITION AND PRACTICES

Summary

The law updates Rhode Island statutes to make insurers demonstrate that pharmacy services will be available and accessible, and it treats pharmacy benefit managers (PBMs) as regulated third‑party administrators. It bars PBMs from substituting drugs without a prescriber’s approval, from hiding cost information, and from charging patients copays that exceed the pharmacy’s submitted charges. It also adds reporting and an appeals process for generic‑drug pricing disputes.

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