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California Enacts New Rules for PBMs
AssuredPartners
[Guidance Overview] Nov. 25, 2025 "The new law [1] prohibits the practice of 'spread pricing,' in which a PBM charges the plan a price for prescription drugs that differs from the amount the PBM pays to the pharmacy filling the prescription.... [2] provides that PBMs have a fiduciary duty to both self-insured employer plan, and health insurance carrier clients ... [3] provides a mechanism for a plan sponsor to obtain quarterly disclosures of rebates and fees received from drug manufacturers, fees and assessments charged to network pharmacies, and payments made to pharmacies, as well as de-identified utilization information for the plan." MORE >> |
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