NH SB256

Requires written agreements between healthcare providers and pharmacies before insurers or pharmacy benefit managers (PBMs) can mandate "white bagging" (delivering drugs to providers for administration), including provider consent

Prohibits mandatory "brown bagging" (patients transporting drugs to providers) unless both patient and provider provide written consent and attest that transport will not compromise care

Prevents insurers and PBMs from imposing higher copays, fees, or coinsurance when patients obtain clinician-administered drugs from non-network pharmacies or pharmacies not selected by the insurer

Protects providers from reduced reimbursement when they obtain clinician-administered drugs from pharmacies outside the insurer's network or not managed by the PBM

Takes effect January 1, 2027, applying to outpatient prescription drugs that cannot be self-administered and must be given by a healthcare professional in a clinical setting