Archived Insight | November 8, 2018

New Laws Prohibit Restrictions on Pharmacists Discussing Drug Costs with Patients

On October 10, 2018, President Trump signed into law two bills that ban pharmacist “gag clauses,” sometimes included in contracts between pharmacies and pharmacy benefit managers (PBMs), which prohibit pharmacists from telling patients the price of drugs purchased without health insurance. Plan sponsors will need to take steps to ensure that their PBMs are in compliance with these new laws.

New Laws Prohibit Restrictions on Pharmacists Discussing Drug Costs with Patients

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Senior Pharmacist And Young Black Woman Using Touchpad In A Pharmacy

PBM Audit Recovers $4.6M in Rx Discounts and Rebates

See how a benefits audit helped a health plan recover $4.6 million in undistributed Rx discounts and rebates from its pharmacy benefit manager (PBM).

Health, Pharmaceutical, Benefit Audit Solutions, Public Sector

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Patient Making Payment With A Credit Card Reader Machine In Modern Clinic

Executive Order Targets Better Healthcare Price Transparency

Sponsors of group health plans should ensure plans comply with existing transparency requirements. New enforcement actions are likely.

Health, Compliance, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Corporate

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Black Businesswoman Gives A Presentation To Her Business Colleagues In The Conference Room

Healthcare Trends Ticking Up

An analysis of health plan data by Segal’s SHAPE proprietary health data warehouse reveals medical cost and Rx cost trends through December 2024.

Health, Multiemployer Plans, Public Sector, Healthcare Industry, Higher Education, Architecture Engineering & Construction, Corporate, Pharmaceutical

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This page is for informational purposes only and does not constitute legal, tax or investment advice. You are encouraged to discuss the issues raised here with your legal, tax and other advisors before determining how the issues apply to your specific situations.