The Pharmacy Benefits Bureau of the New York State Department of Financial Services will publish adopted PBM market conduct rule language in the State Register on Nov. 27. The new rules, the second of a series of expected PBM regulations, address several key issues for NCPA members. Among the provisions, the rules prohibit reimbursing PBM-owned or affiliated pharmacies more than non-owned or non-affiliated pharmacies, retroactive claims adjustments, and patient steering. They also strengthen audit protections and give the Superintendent of Financial Services approval authority for PBM mergers and acquisitions. For more on the NYDFS rules, click here.
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