GA HB690

Pharmacy benefits managers (PBMs) must owe a duty of care, good faith, and fair dealing to insureds, health plans, and providers receiving their services

PBMs must provide transparency to health plans and providers about amounts charged, including identifying all instances of spread pricing, and must disclose all conflicts of interest

When duties conflict, the duty owed to insureds takes priority over all other parties, and the duty owed to providers takes priority over health plans

Aggrieved parties may bring civil action in state court against PBMs for violations of these duty requirements

Adds new definitions including "spread pricing" (amounts charged exceeding what PBMs pay pharmacies), "controlled group of corporations," and "pharmacy benefits management fee"