RD593 (Published 2019) - Managed Care Pharmacy Benefit Manager (PBM) Transparency Report – October 1, 2019

Visit the LIS Learning Center to learn more about the features of the Reports to the General Assembly.

Reports to the General Assembly

Publication Guidelines

RD593 - Managed Care Pharmacy Benefit Manager (PBM) Transparency Report – October 1, 2019

Published: 2019
Author: Department of Medical Assistance Services
Enabling Authority: Appropriation Act - Item 307 T. (Regular Session, 2019)

Report

Executive Summary:

Annual aggregated report relating to managed care contracts for all pharmacy claims; the amount paid to the pharmacy provider per claim, including but not limited to cost of drug reimbursement; dispensing fees; co-payments; and the amount charged to the plan sponsor for each claim by its pharmacy benefit manager.