ND HB1403

Requires health insurers providing prescription drug coverage through pharmacy benefits managers to give the state employee health benefits board access to current contracts, with updates provided within 30 days of any changes.

Mandates insurers provide monthly claims data and information on prescription drug programs including prior authorization, step therapy, mandatory generic drug use, and quantity limits.

Allows the board to conduct annual audits of prescription drug coverage including review of all claims data, implemented programs, cost savings, member disruption, and clinical outcomes.

Requires contracts to describe customization rights over benefit design elements such as copayments, deductibles, formulary, and covered drugs.

Establishes that information provided under these requirements is confidential but may be disclosed to retained auditors and experts who maintain its confidential status.