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AZ SB1161
Bill
Status
1/13/2022
Primary Sponsor
Nancy Barto
Click for details
AI Summary
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Prohibits pharmacy benefit managers (PBMs) from transferring patient or prescriber prescription information to affiliated providers for commercial purposes, with exceptions for pharmacy reimbursement, formulary compliance, and pharmaceutical care.
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Prohibits PBMs from steering or directing patients to use affiliated providers through online messaging, advertising, marketing, or promotion, except when providing comparable cost and service information for all network providers.
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Prohibits PBMs from requiring patients to use affiliated providers for maximum benefits, offering reduced cost-sharing for using affiliated providers, soliciting prescription transfers to affiliated providers, or paying affiliated providers higher reimbursement rates than non-affiliated providers.
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Prohibits PBMs, health insurers, and third-party payors from requiring clinician-administered drugs to be dispensed by pharmacies as a condition of coverage, or imposing higher cost-sharing when drugs are dispensed at prescriber offices or hospital outpatient clinics rather than pharmacies.
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Applies to contracts entered into, amended, extended, or renewed on or after the effective date of the act.
Legislative Description
Prescription drug coverage; steering prohibition
Reimbursement
Last Action
Senate HHS Committee action: Do Pass, voting: (7-1-0-0)
1/19/2022