HB 733 Summary

• Establishes minimum reimbursement rates for pharmacies at the national average drug acquisition cost plus an $11.29 professional dispensing fee; voids any contracts providing less reimbursement.

• Prohibits health insurance issuers and pharmacy benefit managers from discriminating against 340B drug discount program entities through lower reimbursement rates, unequal fees, network exclusions, or claim modifiers.

• Requires pharmacy benefit managers to provide reasonable administrative appeals procedures allowing pharmacies to challenge reimbursement rates within 45 business days and make changes if appeals are upheld.

• Adds pharmacy services administrative organizations to state licensing and regulatory requirements under the State Board of Pharmacy.

• Prohibits pharmacies, pharmacy benefit managers, and affiliates from forcing patients to use specific affiliate pharmacies, penalizing patients who choose non-affiliate pharmacies, or retaliating against pharmacists for exercising legal rights or initiating regulatory actions.