Call to Action: Contact your elected State Senator and urge them to support AB 315 (Wood) on PBMs
 
We are in the final stages of the legislative process for AB 315 (Wood, Dahle & Nazarian) which would require that Pharmacy Benefit Managers (PBMs) be regulated by the California Department of Managed Health Care (DMHC).
 
Some key elements of AB 315 include:
  • Requirement of pharmacists to inform customers at point of sale, whether the retail price is lower than the applicable cost-sharing amount for prescription drugs.
  • Require the pharmacy to submit a claim in the same manner as if the customer had purchased the prescription by paying the cost-sharing amount when submitted by the network pharmacy, if the customer pays the retail price.
  • Prohibit "gag clauses."
  • Require that PBMs disclose specified aggregate information, quarterly and upon request of the health plan purchaser.
  • Require that PBMs disclose whether the PBM has a contract or agreement with a pharmaceutical manufacturer to exclusively dispense, or provide a drug to a purchaser's employees, insureds, or enrollees.
  • Require that PBMs disclose specified information to purchasers, including at least a 30-day advance notice of changes.
We are urging CPhA members and all pharmacists in California to  contact your State Senator to vote YES on AB 315. Your assistance is crucial to ensuring the bill gets sent to the Governor's desk. As you can imagine, the PBMs are aggressively lobbying to defeat this important piece of legislation, so your advocacy and support are crucial in preserving the well-being of not just your career, but the profession in relation to the impact from PBMs!