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drug pricing schemesKFF Health News
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Health
77% Informative
A California bill would subject drug industry intermediaries known as pharmacy benefit managers to licensing by the state Department of Insurance .
It would require them to pass along 100% of the rebates they get from drug companies to the health plans and insurers that hire them to oversee prescription drug benefits.
The proposal, which would impose some of the toughest PBM regulations in the nation, faces at least one major hurdle: Newsom.
A January report found the three biggest PBMs appeared to steer the most profitable prescriptions away from competitors and to their affiliated pharmacies.
They reimbursed at markups exceeding 1,000% for some drugs, including some used to treat cancer, multiple sclerosis, and serious lung conditions.
The bill would ban such markups and bar PBMs from receiving performance bonuses based on drug rebates.
VR Score
80
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84
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English
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