Maryland Subject | Pharmacy Benefits Managers

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MDSB915PassRequiring, on or after July 1, 2021, pharmacy services administrative organizations to register with the Maryland Insurance Commissioner before providing certain services in the State; requiring certain applicants to file an application on a certain ...
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2020-05-08
Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 398
MDHB1150PassRequiring the Department of Budget and Management to use a reverse auction, as provided for in certain provisions of law established by the Act, to select a pharmacy benefits manager or other entity to administer the State Rx Program; requiring the D...
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2020-05-08
Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 434
MDHB978PassRequiring, on or after July 1, 2021, pharmacy services administrative organizations to register with the Maryland Insurance Commissioner before providing certain services in the State; requiring certain applicants to file an application on a certain ...
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2020-05-08
Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 399
MDHB1307PassProhibiting a pharmacy benefits manager from requiring a certain pharmacy or pharmacist to obtain certain credentialing as a condition for participating in a certain network with certain frequency or charging a pharmacy or pharmacist a certain fee; r...
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2020-05-08
Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 455
MDHB1273PassRequiring a pharmacy benefits manager to allow a pharmacy or pharmacist to withdraw and resubmit certain claims within a certain number of days after a preliminary audit report is delivered or, if a pharmacy or pharmacist requests an internal audit, ...
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2020-05-08
Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 452
MDSB1017IntroRequiring a pharmacy benefits manager to maintain an adequate and accessible pharmacy benefits manager network consisting of contracted pharmacies that provide convenient patient access to pharmacy services; authorizing the Maryland Insurance Commiss...
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2020-03-15
To Senate Finance Committee
MDHB785IntroProhibiting pharmacy benefits managers from requiring a beneficiary to use a mail-order pharmacy to fill or refill a prescription as a condition for reimbursing the cost of the drug; prohibiting certain carriers from prohibiting an enrollee from sele...
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2020-03-03
Unfavorable Report by Health and Government Operations; Withdrawn
MDSB871IntroProviding that certain provisions of law do not prohibit a physician from personally dispensing to a patient by mail order certain prescription drugs and devices; prohibiting certain entities, policies, and contracts from imposing certain cost-sharin...
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2020-02-07
To Senate Finance Committee
MDHB756IntroRequiring the Maryland Medical Assistance Program to establish reimbursement levels, rather than maximum reimbursement levels, for drug products for which there is a certain generic equivalent; requiring that certain minimum reimbursement levels be a...
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2020-02-06
To House Health and Government Operations Committee
MDHB885IntroEstablishing that a pharmacy benefits manager has a duty and an obligation to the beneficiary and the purchaser to perform all pharmacy benefits management services with care and skill and primarily in the best interests of the beneficiary and the pu...
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2020-02-06
To House Health and Government Operations Committee
MDHB943IntroProviding that certain provisions of law do not prohibit a physician from personally dispensing to a patient by mail order certain prescription drugs and devices; prohibiting certain entities, policies, and contracts from imposing certain cost-sharin...
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2020-02-06
To House Health and Government Operations Committee
MDHB134IntroRequiring certain insurers, nonprofit health service plans, and health maintenance organizations to limit the cumulative amount a covered individual is required to pay on copayment or coinsurance for a covered prescription insulin drug to no more tha...
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2020-01-28
To House Health and Government Operations Committee
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