RD567 (Published 2021) - Managed Care Pharmacy Benefit Manager (PBM) Transparency Report – October 1, 2021

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RD567 - Managed Care Pharmacy Benefit Manager (PBM) Transparency Report – October 1, 2021

Published: 2021
Author: Department of Medical Assistance Services
Enabling Authority: Appropriation Act - Item 317 T. (Special Session I, 2021)

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.