H466 - The Pharmacy Patient Fair Practices Act. (SL 2017-116)

Overview: S.L. 2017-116 permits pharmacists to discuss lower-cost alternative drugs with consumers and sell lower-cost alternative drugs to consumers. It prohibits pharmacy benefits managers from using contract terms to prevent pharmacies from providing store direct delivery services. Pharmacy benefits managers are also prohibited from charging insureds a co-pay that exceeds the total submitted charges by a network pharmacy. Finally, it allows pharmacy benefits managers to charge pharmacies a fee for costs related to claim adjudication only if the fee was set out in a contract or reported on the remittance advice of the claim.

This act will become effective October 1, 2017, and apply to all contracts entered into, renewed, or amended on or after that date.