A pharmacy benefit manager may neither prohibit a pharmacist or pharmacy from, nor penalize a pharmacist or pharmacy for, informing a covered individual about:
- (1) The cost of a prescription drug;
- (2) The amount of reimbursement that the pharmacy will receive for dispensing the prescription drug;
- (3) The cost and clinical efficacy of a more affordable alternative prescription drug, if one is available; and
- (4) Any differential between the amount a covered individual would pay under the covered individual’s prescription drug benefit and a lower price the covered individual would pay for the prescription drug, if the covered individual obtained the prescription drug without making a claim for benefits on the covered individual’s prescription drug benefit.
Source: SL 2018, ch 281 , § 1; SL 2023, ch 166 , § 10.