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IN HB1252
Bill
Status
1/10/2019
Primary Sponsor
Steven Davisson
Click for details
AI Summary
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Pharmacy benefit managers (PBMs) not licensed as administrators must register with the Indiana Board of Pharmacy, with a $140 application fee and annual $140 renewal fee, effective July 1, 2019
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PBMs must update maximum allowable cost lists for generic drugs every 7 business days and apply reimbursement updates within 1 business day
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Network pharmacies may appeal drug reimbursements within 60 business days, with PBMs required to respond within 10 business days; successful appeals must result in price adjustments within 1 business day
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Annual reporting to the board required beginning June 1, 2020, including aggregate rebates received from pharmaceutical manufacturers, administrative fees, and retained rebates not passed to insurers
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PBMs prohibited from using financial incentives (premium, deductible, or copayment variations) to steer covered individuals toward pharmacies in which the PBM has an ownership interest
Legislative Description
Pharmacy benefit managers. Requires a pharmacy benefit manager that is not licensed as an administrator to be registered with the board of pharmacy. Specifies requirements for registration, renewal, conduct, appeals, and annual reporting by pharmacy benefit managers.
Last Action
Reassigned to Committee on Insurance
1/15/2019