GA HB918

Repeals the requirement that pharmacy benefits managers (PBMs) obtain a separate pharmacy license when engaging in the practice of pharmacy, removing Code Section 26-4-110.1

Strengthens the Pharmacy Audit Bill of Rights by extending the pharmacy's correction period from 30 to 60 days, reducing the preliminary audit report delivery deadline from 120 to 30 days, capping audits at no more than 100 prescriptions per audit and 200 per 12-month period, limiting audits to no more than once every six months, and restricting recoupment to cases of fraud, overpayment, or misfill

Expands pharmacy anti-steering provisions by broadening the definition of "referral" to include ordering patients to pharmacies with affiliates through arrangements or agreements, and by removing the exemption that previously allowed referrals for limited distribution prescription drugs and care management organizations

Grants the Commissioner of Insurance explicit enforcement authority over the Pharmacy Audit Bill of Rights, including the power to investigate complaints, prohibit or order reimbursement of wrongful recoupments, and institute fines for violations

Makes conforming changes across multiple code sections to update cross-references from the repealed PBM pharmacy licensure provision (Code Section 26-4-110.1) to the general pharmacy licensure provision (Code Section 26-4-110)