The following bills will be heard in the House Regulatory Affairs Committee on March 13:  

  • SB 1164, legislation prohibiting PBMs (Pharmacy Benefit Managers) from limiting or excluding coverage of a prescription drug for any covered individual who is on a specific prescription drug when certain conditions are met; prescribing formulary change notification requirements; and establishing a prescription coverage exemption determination process. 
  • SB 1165, legislation prohibiting an auditing entity from retroactively reducing the amount of a claim payment to a pharmacist or pharmacy after adjudication of the claim for a prescription drug, with certain exceptions and prescribes requirements for a wholesale invoice audit. 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.