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SC H4790
Bill
Status
1/13/2026
Primary Sponsor
Heath Sessions
Click for details
AI Summary
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Requires pharmacy benefits managers (PBMs) to provide "unobstructed access" to their Maximum Allowable Cost Lists for patients, consumers, and network pharmacy providers, replacing the previous requirement for only a "process" to access this information
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Mandates that PBMs provide unobstructed access to pharmacies subject to Maximum Allowable Cost Lists for any updates to those lists
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Maintains existing requirements that PBMs update Maximum Allowable Cost Lists at least every seven calendar days
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Preserves appeal procedures allowing contracted pharmacies to challenge reimbursement amounts when payment is less than the net amount paid to drug suppliers
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Takes effect upon approval by the Governor
Legislative Description
Pharmacy Benefits Managers - Maximum Allowable Cost Lists
Last Action
Member(s) request name added as sponsor: Taylor
2/3/2026