Provides for patient prescription pricing transparency; requires certain insurers or pharmacy benefit managers to furnish required cost, benefit and coverage data upon request of the insured, the insured's health care provider or an authorized third party.
Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.
Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.
Pharmacy benefits managers; duty of care to insureds, health plans, and providers; provide
Pharmacy Benefits Managers; managers have a duty of care to insureds, health plans, and providers; provide
In pharmacy benefit manager cost transparency requirements, providing for sharing of cost, benefit and coverage data required.
Requires Medicaid provide health benefits coverage, and places certain requirements on insurers and State Health Benefits Program regarding existing mandate on health benefits coverage, for certain over-the-counter contraceptives.
Insurance: health insurers; summary of benefits and coverage provided to insureds; modify. Amends sec. 2212a of 1956 PA 218 (MCL 500.2212a).
Expands pharmacy benefit management services to include the management or administration of benefits relating to durable medical equipment; defines "durable medical equipment"; relates to pharmacy or durable medical equipment provider audits by pharmacy benefit managers.
Requiring pricing and payment transparency from pharmacy benefits managers contracting with PEIA