NC H824

Health benefit plans must cover healthcare services provided by pharmacists, including testing, diagnosis, treatment, dispensing medications, and administering vaccines or long-term injectables like buprenorphine, when performed within their scope of practice

Insurers must cover all FDA-approved prescription drugs for treating opioid use disorder and opioid overdose without prior authorization requirements, and these drugs must be included on closed formularies

Pharmacies dispensing opioid treatment medications must be reimbursed at National Average Drug Acquisition Cost plus a dispensing fee, or Wholesale Acquisition Cost plus dispensing fee if not on the NADAC list

Insurers that delegate credentialing to healthcare facilities must accept that facility's credentialing for all pharmacists employed by or contracted with those facilities

Pharmacy benefits managers and third-party administrators must comply with the same prescription drug and pharmacy service coverage requirements as insurers, effective October 1, 2025 for insurance contracts issued, amended, or renewed on or after that date