A. As used in this section:
- (1) "340B drug" means a drug that is purchased at a discount in accordance with the 340B program requirements;
- (2) "340B program" means the federal drug pricing program created pursuant to 42 U.S.C. Section 256b;
- (3) "covered entity" means an entity participating in the 340B program; and
- (4) "pharmacy benefits manager" means an entity that provides pharmacy benefits management services.
B. A pharmacy benefits manager or a third party shall not discriminate against a covered entity on the basis of its participation in the 340B program by:
- (1) reimbursing a covered entity for a 340B drug at a rate lower than that paid for the same drug to pharmacies, similar in prescription volume, that are non-covered entities;
- (2) assessing a fee, chargeback or other adjustment to the covered entity that is not assessed to non-covered entities;
- (3) imposing a provision that prevents or interferes with a person's choice to receive 340B drugs from a covered entity; or
(4) imposing terms or conditions that differ from terms or conditions imposed on a non-covered entity, including:
- (a) restricting or requiring participation in a pharmacy network;
- (b) requiring more frequent auditing or a broader scope of audit for inventory management systems using generally accepted accounting principles;
- (c) requiring a covered entity to reverse, resubmit or clarify a claim after the initial adjudication, unless these actions are in the normal course of pharmacy business and not related to the 340B program; or
- (d) charging an additional fee or provision that prevents or interferes with an individual's choice to receive a 340B drug from a covered entity.
History: Laws 2023, ch. 206, § 7.
ANNOTATIONS
Effective dates. — Laws 2023, ch. 206 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 16, 2023, 90 days after adjournment of the legislature.