OH HB192

Health plan issuers cannot require pharmacies to meet accreditation or certification standards beyond those set by the Ohio State Board of Pharmacy as a condition for network participation

Pharmacy benefit managers must submit quarterly electronic reports to the Superintendent of Insurance and contracted insurers/plan sponsors detailing drug claims, including maximum allowable costs and actual acquisition costs in machine-readable format

Reports must identify whether each drug is brand-name, generic, specialty/biological, on formulary, or procured outside the formulary

Violations of pharmacy accreditation requirements carry a $1,000 administrative penalty per violation, with each day of continued violation after notice counting as a separate offense

PBMs are prohibited from retaliating against pharmacies that report violations, including contract termination or increased audits without 90 days advance notice