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MN HF558
Bill
Status
2/1/2021
Primary Sponsor
Keith Franke
Click for details
AI Summary
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Prohibits pharmacy benefit managers and health carriers from restricting pharmacists or pharmacies from disclosing health care information to enrollees, including treatment nature, risks, alternatives, utilization review decisions, authorization processes, and financial incentives.
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Requires pharmacies to provide enrollees with total cost information for each prescription drug, including the patient's co-payment amount, pharmacy's usual and customary price, acquisition cost, and reimbursement amount from the pharmacy benefit manager or health carrier.
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Prohibits pharmacy benefit managers from preventing pharmacists or pharmacies from discussing with health carriers the reimbursement amount paid to the pharmacy or the pharmacy's acquisition cost for prescription drugs.
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Prohibits pharmacy benefit managers and health carriers from restricting discussion of therapeutically equivalent alternative prescription drugs or alternative purchasing methods, including out-of-pocket payment options that may be less expensive than the enrollee's required health plan cost.
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Effective the day following final enactment.
Legislative Description
Pharmacy benefit managers prohibited from restricting pharmacists or pharmacies from discussing reimbursement amount paid by pharmacy benefit managers with health carriers and consumers.
Last Action
Author added Munson
2/15/2021