Get PBMs to Squeeze 340B Drugs Harder, “Playbook” Advises Employers

NAHPC
A new "playbook" for business-sponsored health plans advises them to press PBMs to do more to ensure that health care purchasers get the benefits of 340B drug discounts.

A new “playbook” for employers on getting the upper hand with pharmacy benefit managers says PBM handling of 340B drugs is a top 10 concern for business-sponsored health plans.

Released yesterday by the Washington, D.C., based National Alliance of Healthcare

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Nevada Legislature Passes 340B Nondiscrimination Bill

Nevada state capitol
Nevada lawmakers passed and sent to the governor a bill to stop PBM and insurance company discrimination against 340B covered entities.

Nevada lawmakers have unanimously passed and sent to the state’s governor legislation prohibiting pharmacy benefit managers and health insurance carriers from discriminating against 340B covered entities and their contract pharmacies.

The state Assembly voted 42-0 on June 3 and the

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Final Connecticut Bill Excludes Both 340B Transparency and Contract Pharmacy Provisions

Connecticut Senate
The Connecticut Senate gave final passage to legislation that bars PBM discrimination against 340B entities. But it does not bar manufacturers from limiting contract pharmacy use in 340B nor require 340B entities to report on their program savings.

Connecticut will not, after all, be the first state to require 340B covered entities to file reports on their 340B program savings and how they use them, under a bill the state Senate gave final passage to late last night.

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Iowa Set to Enact Nation’s 25th 340B Nondiscrimination Law

Iowa state capitol
The Iowa Senate last week passed a 340B nondiscrimination bill 49-1, sending it to Gov. Kim Reynolds. The House passed it earlier 98-0.

The Iowa Senate last week passed a House-approved bill banning pharmacy benefit manager and payor discrimination against 340B covered entities and their contract pharmacies, including reimbursing the entities at a lower rate than non-340B providers.

The Senate voted 49-1 on

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New Mexico Governor Signs Bill Protecting 340B Providers from PBM and Payer Discrimination

New Mexico state flag
New Mexico Gov. Michelle Lujan Grisham (D) has signed a law to prevent PBMs and insurers from discriminating against 340B providers.

New Mexico Gov. Michelle Lujan Grisham (D) signed a law April 7 to prevent pharmacy benefit managers and insurers from discriminating against 340B providers.  The bill includes language that prohibits payers from reimbursing 340B covered entities at a lower rate

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Two GOP Senators Raise Concerns About PBM’s Infringement on 340B Savings in Recent Hearing

Jonathan Levitt pictured at Senate hearing
The 340B program "is completely frustrated" by pharmacy benefit managers, health care attorney Jonathan Levitt said during a during a Senate Finance Committee hearing on PBMs.

Two Republican U.S. senators expressed concerns about pharmacy benefit manager encroachment on 340B covered entity savings during a Senate Finance Committee hearing on PBMs last week.

“I often hear concerns from South Dakota hospitals and health centers when it comes

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New Mexico Passes 340B Anti-Discrimination Bill, After Dropping 340B Contract Pharmacy Provisions

New Mexico state capitol building
New Mexico lawmakers passed a bill to stop pharmacy benefit managers from discriminating against 340B providers, but stripped it of language that would have outlawed drug manufacturers’ conditions on 340B sales when entities use contract pharmacies.

With just minutes to go in this year’s session, New Mexico lawmakers recently passed a bill to stop pharmacy benefit managers from discriminating against 340B providers including reimbursing them at a lower rate than other providers. Gov. Michelle Lujan Grisham

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U.S. House Oversight Committee Launches PBM Investigation

House Committee on Oversight and Accountability
A U.S. House committee is investigating “anticompetitive tactics” by Express Scripts, CVS Caremark, and OptumRx.

The U.S. House Committee on Oversight and Accountability last week launched an investigation into how “anticompetitive tactics” by the three largest pharmacy benefit managers—Express Scripts, CVS Caremark, and OptumRx—are driving up healthcare costs and hurting patient care within federal health

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Oregon Bill Targets PBM Policies that Discriminate Against 340B Pharmacies

Oregon House Bill 2716 image
A bill in Oregon would prohibit discriminatory practices by PBMs and insurance plans against 340B pharmacies.

Oregon legislators have introduced a bill that would prohibit discriminatory practices by pharmacy benefit managers and insurance plans against 340B pharmacies, including reimbursing a 340B pharmacy less for prescription drugs compared with non-340B pharmacies. 

If passed later this year, House

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Court Upholds $23 Million Judgement Against CVS Caremark for Unfair Pharmacy Reimbursement

Arcade claw game
CVS Caremark must pay AIDS Healthcare Foundation $23 million for Part D drug reimbursement that the PBM clawed back from AHF unfairly, a court says.

A federal district court in Arizona has upheld a $23 million arbitration award to the AIDS Healthcare Foundation (AHF) against pharmacy benefits manager (PBM) CVS Caremark for unfair drug reimbursement.

In its November 2019 lawsuit, AHF alleged that CVS Caremark

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