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.
Assigned to General Subcommittee of Senate Commerce and Labor Committee
Summary
The bill bars pharmacy benefit managers from changing, restricting, or denying a medication prescribed by a healthcare provider unless a prior‑authorization request is made. It also requires PBMs to approve or deny such requests within set time limits, otherwise the request is deemed approved. The measure aims to protect patient safety and preserve prescribers' clinical authority.
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