HI SB2900

Pharmacy benefit managers must use equal payment bases and disclose amounts paid to pharmacies for mail order versus retail prescriptions to prevent unfair favoritism toward mail order.

Pharmacy benefit managers are prohibited from engaging in spread pricing, defined as moneys gained through negotiating lower pharmacy rates that are not passed to health plans or employers.

Pharmacy benefit managers must identify and pass along any cost savings negotiated with manufacturers, including rebates, in the form of lower premiums or copayments.

Individual beneficiaries in Hawaii employer-union health benefits trust fund plans may opt out of requirements to purchase prescriptions by mail order and instead use retail pharmacies.

Health benefits plans must provide all patients with an explanation of benefits statement.