MO SB1340

Health carriers and pharmacy benefits managers are prohibited from discriminating against 340B covered entities by reimbursing them less than similarly situated pharmacies for the same drugs

Prohibited discriminatory practices include imposing different fees, chargebacks, dispensing fees, network participation requirements, or audit requirements on 340B entities compared to non-340B pharmacies

Health carriers and PBMs cannot require covered entities to identify 340B drugs, refuse to cover 340B-purchased drugs, or require claim reversals/resubmissions solely due to 340B status

Violations subject to civil penalties of up to $5,000 per violation per day, enforced by the Director of the Department of Commerce and Insurance

Director must promulgate implementing rules; rulemaking authority expires August 28, 2026