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MN SF2836

Bill

Status

Engrossed

5/2/2018

Primary Sponsor

Scott Jensen

Click for details

Origin

Senate

90th Legislature 2017-2018

AI Summary

  • Requires pharmacists to disclose to patients their co-payment amount, the pharmacy's usual and customary price, and the net amount the pharmacy receives for each prescription paid or reimbursed by a health plan or employer-sponsored plan.

  • Prohibits health plan companies and pharmacy benefit managers from contractually preventing pharmacies from disclosing required pricing information to patients.

  • Prohibits contractual restrictions preventing pharmacists from informing patients when their health plan co-payment is greater than the out-of-pocket cost at the pharmacy's usual and customary price.

  • Requires pharmacy benefit manager contracts with pharmacies to allow synchronization of prescription drug refills for patients on at least one occasion per year, if specified medical and formulary criteria are met.

  • Requires pharmacy benefit managers to apply prorated daily patient cost-sharing rates for synchronized refills, while dispensing fees remain non-prorated and based on the number of prescriptions filled or refilled.

Legislative Description

Health plan company contractually preventing pharmacists from informing patients of price differentials prohibition; synchronization of prescription drug refills

Last Action

Second reading

5/3/2018

Committee Referrals

Health and Human Services Finance and Policy3/1/2018

Full Bill Text

No bill text available