Insurance, Health, Accident - As introduced, prohibits a pharmacy benefits manager from reimbursing a contracted pharmacy for a prescription drug or device or a pharmacy service in an amount that is less than the greatest of certain listed amounts and makes other related changes. - Amends TCA Title 8, Chapter 27; Title 56, Chapter 7 and Title 71, Chapter 5.

Summary

The measure stops pharmacy benefit managers (PBMs) from reimbursing a contracted pharmacy for a drug, device, or service for less than the highest of four listed amounts, such as the pharmacy’s actual cost or a set percentage of a national price index. It also creates an appeal process for pharmacies and makes PBMs pay double any amount they underpay. The goal is to protect pharmacies from being forced to sell at a loss.

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

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