Pharmacy, Pharmacists - As introduced, prohibits a pharmacy benefits manager from certain listed actions, including modifying, restricting, or denying a medication ordered by a healthcare prescriber; requires that a request for a formulary exception or prior authorization be granted or denied by a pharmacy benefits manager within a specified amount of time or such request is deemed approved. - Amends TCA Title 53; Title 56; Title 63 and Title 71.

Summary

The bill stops pharmacy benefit managers (PBMs) from changing, restricting, or denying a medication that a prescriber orders unless a prior‑authorization request is made. PBMs must approve or deny such requests within 24 hours for urgent cases or 72 hours for non‑urgent ones, otherwise the request is automatically approved. It also bars PBMs from retaliating against doctors or pharmacies and requires them to disclose contracts and report performance data.

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

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