New Law Bars Pharmacy Benefit Manager Gag Clauses
| posted in Blog, NewsletterPresident Trump has signed two bills into law that would add transparency to drug pricing by banning gag clauses imposed by Pharmacy Benefit Managers (PBMs) that bar pharmacists from discussing drug prices with the person buying prescription medication. The bills, passed with bipartisan support, take aim at the PBM practice of clawbacks, which occur when the copayment set by the PBM is more than the actual cash price of the drug. So instead of the policyholder being able to pay less for the drug, the PBM will usually pocket the difference. And because of gag clauses, most policyholders never get…
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