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Pharmacy Benefit Manager Reform: What’s on the Horizon? (December 2023 Update)

McDermott Will & Emery Employee Benefits

Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. Congress and […] The post Pharmacy Benefit Manager Reform: What’s on the Horizon?

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Pharmacy Benefit Manager Reform: What’s on the Horizon?

McDermott Will & Emery Employee Benefits

Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. PBMs administer […] The post Pharmacy Benefit Manager Reform: What’s on the Horizon? appeared first on EMPLOYEE BENEFITS BLOG.

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Tenth Circuit Reaffirms Preemption of State Pharmacy Network Regulations

McDermott Will & Emery Employee Benefits

The US Court of Appeals for the Tenth Circuit recently held in Pharmaceutical Care Management Association v. Mulready (PCMA) that the Employee Retirement Income Security Act (ERISA) and Medicare Part D preempted several provisions of Oklahoma law regulating pharmacy benefit managers and pharmacy networks.

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New York Proposes Regulations Expanding State’s Ability to Regulate PBMs

McDermott Will & Emery Employee Benefits

The New York State Department of Financial Services recently announced the publication of proposed regulations that would increase the state’s oversight of pharmacy benefit managers (PBMs). If enacted, the proposed regulations would create significant requirements for PBMs and would require prompt compliance by January 1, 2024.