MA H1330

Requires pharmacy benefit managers (PBMs) to update maximum allowable cost lists within 7 calendar days when pharmacy acquisition costs increase by 10% or more from 60% or more of wholesalers in Massachusetts

Establishes an administrative appeal process allowing pharmacies at least 7 business days to challenge reimbursement rates, with PBMs required to respond within 7 business days

Prohibits PBMs from reimbursing independent pharmacies less than they reimburse their own affiliated pharmacies for the same generic drug services

Permits pharmacies to decline to provide services if the maximum allowable cost reimbursement would be less than the pharmacy's acquisition cost for the drug

Applies to PBMs contracted with MassHealth and the Group Insurance Commission, with violations constituting unfair trade practices under Chapter 93A