NC H624

Manufacturers must notify interested parties (state agencies, insurers, PBMs) at least 60 days before any price increase of 10% or more over 12 months, then disclose justification, marketing budget, acquisition details, and 5-year price history within 30 days

New prescription drugs must have their price reported to interested parties within 3 days of FDA approval, with justification and marketing budget disclosed within 30 days

Manufacturers marketing drugs to prescribers must disclose if any ingredient poses a known risk of dependency in humans

Civil penalties of up to $1,000 per day apply to manufacturers who fail to report required information; the bill explicitly does not limit manufacturers' ability to set drug prices

Secretary of DHHS must submit an implementation plan by February 1, 2026, create a public online portal for disclosures, and report annually starting December 1, 2026 on the 25 most prescribed, costliest, and fastest-rising drugs in the state