ND SB2378

Creates new provisions in North Dakota Century Code chapter 19-02.1 regulating pharmacy benefits managers and third-party payers regarding clinician-administered drugs (outpatient prescription drugs that cannot be reasonably self-administered, excluding vaccines and specialty drugs).

Prohibits pharmacy benefits managers and third-party payers from requiring patients to purchase drugs exclusively through mail-order pharmacies or affiliated pharmacies as a condition of payment or reimbursement.

Prohibits increasing patient costs, interfering with patient provider choice, or limiting drug availability based on whether drugs are dispensed by mail-order or affiliated pharmacies when the drug would otherwise be covered.

Prohibits denying, restricting, or reducing payment to participating providers for clinician-administered drugs when medical necessity criteria are met, based solely on the provider not obtaining drugs from mail-order or affiliated pharmacies.

Prohibits requiring designation of specific pharmacies to dispense medications directly to patients for transport to health care settings, or to health care settings for provider administration, and prohibits mandating home infusion pharmacies for home drug dispensing.