An Act relating to patient cost, benefit and coverage information, choice, and price transparency

This Massachusetts bill requires health plans and pharmacy benefit managers to provide patients, doctors, and family members with real-time information about prescription drug costs and coverage. Upon request, these entities must supply current data on eligibility, clinically appropriate alternatives, specific out-of-pocket expenses across different pharmacies, and any usage restrictions like prior authorization. The law mandates that this information be delivered immediately in standard electronic formats, ensuring that individuals can make informed decisions about their medication choices without relying on non-standard or proprietary systems.