PRIME THERAPEUTICS

S.1339: Pharmacy Benefit Manager Reform Act-provisions related to disclosure, audits and PBM contracting. Proposed amendments to S.1339 creating a default spread pricing option with options to elect pass-through payments for PBM compensation. H.R.5378: Lower Costs, More Transparency Act provisions related to PBM transparency and disclosure requirements. S.1542/H.R.6283: The Delinking Revenue from Unfair Gouging (DRUG) Act-provisions dictating PBM contracting terms. S.2305: The Biosimilar Red Tape Elimination Act-legislation addressing the standards for interoperability for biosimilars and requirements for switching studies. Education on the efficacy and outreach of new obesity medications.

S.3430: Better Mental Healthcare, Lower Cost Drugs & Extenders Act-provisions related to PBMs and pharmacy contracting. S.2973: Modernizing and Ensuring PBM Accountability Act - provisions related to PBM contracting, audits and disclosures. H.R.5526: Seniors Access to Critical Medications Act of 2023 provisions clarifying Medicare so that delivery of medicines through various methods or by allowing a family member or caregiver to pick up medication on behalf of a patient does not violate the Stark Law and does fall within the scope of Stark's IOAS exception. Implementation of Center for Medicare and Medicaid Services Final Rule, Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Final Rule, CMS-4192-F, CMS-1744-F, provisions related to changes in Pharmacy Direct and Indirect Renumeration. Implementation of H.R. 5376 (117th Congress)/P.L. 117-169 The Inflation Reduction Act-provisions related to changes in Medicare Part D and government negotiation of drug prices. Sec.302: Arrangements with Pharmacy Benefit Managers with Respect to Prescription Drug Plans and MA-PD Plans, of H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act. H.R.7623: Telehealth Modernization Act of 2024, Section on Arrangements with Pharmacy Benefit Managers with Respect to Prescription 23 Drug Plans and MA-PD Plans.

S.1339: "Pharmacy Benefit Manager Reform Act," provisions related to disclosure, audits and PBM contracting. Proposed amendments to S.1339 creating a default spread pricing option with options to elect pass-through payments for PBM compensation. H.R.5378: "Lower Costs, More Transparency Act," provisions related to PBM transparency and disclosure requirements. S.1542/H.R.6283: "The Delinking Revenue from Unfair Gouging (DRUG) Act," provisions dictating PBM contracting terms. S.127: Pharmacy Benefit Manager Transparency Act of 2023, a bill to prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.4349: A bill to require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs.

S.3430: "Better Mental Healthcare, Lower Cost Drugs & Extenders Act," provisions related to PBMs and pharmacy contracting. S.2973: "Modernizing and Ensuring PBM Accountability Act," provisions related to PBM contracting, audits and disclosures. H.R.5526: "Seniors Access to Critical Medications Act of 2023," provisions clarifying Medicare so that delivery of medicines through various methods or by allowing a family member or caregiver to pick up medication on behalf of a patient does not violate the Stark Law and does fall within the scope of Stark's IOAS exception. Implementation of Center for Medicare and Medicaid Services Final Rule, Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Final Rule, CMS-4192-F, CMS-1744-F, provisions related to changes in Pharmacy Direct and Indirect Renumeration. Implementation of H.R. 5376 (117th Congress)/P.L. 117-169: The Inflation Reduction Act-provisions related to changes in Medicare Part D and government negotiation of drug prices. Sec. 302, Arrangements with Pharmacy Benefit Managers with Respect to Prescription Drug Plans and MA-PD Plans, of H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act. H.R.7623: "Telehealth Modernization Act of 2024", Sec. 202, Arrangements with Pharmacy Benefit Managers with Respect to Prescription Drug Plans and MA-PD Plans.

S.1339: "Pharmacy Benefit Manager Reform Act," provisions related to disclosure, audits and PBM contracting. Proposed amendments to S.1339 creating a default spread pricing option with options to elect pass-through payments for PBM compensation. S.3548: "Health Care Prices Revealed and Information to Consumers Explained Transparency Act," a bill to amend the Public Health Services Act to provide for hospital and insurer price transparency. H.R.5378: "Lower Costs, More Transparency Act," provisions related to PBM transparency and disclosure requirements. S.1542/H.R.6283: "The Delinking Revenue from Unfair Gouging (DRUG) Act," provisions dictating PBM contracting terms. S.127: Pharmacy Benefit Manager Transparency Act of 2023, a bill to prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.