Louisiana HB1236 regulates pharmacy benefit managers by prohibiting changes to out-of-pocket costs and requiring them to cover professional.
Louisiana HB1236 amends pharmacy benefit manager regulations to prohibit changes to the amount consumers must pay out-of-pocket for prescription drugs. It also mandates that pharmacy benefit managers bear all costs associated with professional dispensing fees, prohibiting these costs from being assigned to plans, members, pharmacies, or pharmacists. The bill requires pharmacy benefit managers to submit claims-level data for compliance verification and mandates an appeal process for pharmacists to challenge claim payment errors.
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- Critical Issues
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