Provide requirements relating to clinician-administered drugs under the Pharmacy Benefit Manager Licensure and Regulation Act

This bill adds specific requirements for "clinician-administered drugs" (outpatient drugs that cannot be self-administered and must be given in clinics, hospitals, or similar settings by a healthcare provider) under Nebraska's Pharmacy Benefit Manager (PBM) regulations. It requires specialty pharmacies shipping these drugs to provide 24/7 pharmacist/nurse access, allow refill requests through PBMs/health plans, and comply with federal drug tracking rules. The bill also mandates that PBMs or health plans must establish a clear appeal process for providers if drugs aren't delivered on time or if urgent care is needed to prevent immediate harm. These changes directly affect specialty pharmacies, PBMs, and healthcare providers administering these drugs, effective January 2026.