Bill > H1150

This bill aims to ensure access to generic medication by regulating the practices of pharmacy benefits managers (PBMs) and covered entities. It requires PBMs and covered entities to follow specific guidelines when setting maximum allowable costs (MACs) for drugs, medical products, and devices. The bill mandates that PBMs and covered entities make their MAC lists and sources publicly available, allow pharmacies to appeal MACs, and update MACs regularly. It also prohibits PBMs from restricting pharmacists from providing patients with information about treatment options, costs, and alternative therapies. The bill gives the Insurance Commissioner the authority to enforce these provisions and conduct audits of PBM compliance.