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The Consolidated Appropriations Act and PBM Transparency
PharmExec.com Link to more items from this source
[Guidance Overview]
May 16, 2023

"The Consolidated Appropriations Act of 2021 (CAA) marks a major shift in the pharmacy benefits landscape, bringing increased transparency to key aspects of Plan design.... ERISA was amended to expressly prohibit gag clauses in PBM-Plan contracts.... Another significant CAA provision regulates PBM compensation under PBM-Plan agreements.... The CAA also requires disclosure of compensation that brokers receive."

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