Bill > S616

This bill aims to improve patient cost, benefit, and coverage information, choice, and price transparency in the healthcare system. It requires health plans and pharmacy benefit managers to provide real-time information to patients, their prescribing practitioners, or their personal representatives upon request, including the patient's current eligibility, a list of clinically-appropriate alternative drugs covered under their plan, cost-sharing information for the prescribed drug and alternatives, and any applicable utilization management requirements. The bill also prohibits health plans and pharmacy benefit managers from restricting or discouraging the sharing of this information or penalizing practitioners for discussing lower-cost alternatives with patients.

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https://malegislature.gov/Bills/193/S616