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passed · Tennessee · House Apr 21, 2021

HB 145: Pharmacy, Pharmacists - As introduced, lowers from three to two business days the amount of time a pharmacy benefits manager or covered entity has to adjust the maximum allowable cost of a drug or medical product or device to which the maximum allowable cost applies for all similar pharmacies in the network for claims submitted in the next payment cycle after an appealing pharmacy's appeal is determined to be valid by the pharmacy benefits manager or covered entity. - Amends TCA Title 4; Title 53; Title 56; Title 63; Title 68 and Title 71.

Assigned to General Subcommittee of Senate Commerce and Labor Committee
Robin Smith (R) Art Swann (R)
passed · Tennessee · Senate Apr 21, 2021

SB 1403: Pharmacy, Pharmacists - As introduced, lowers from three to two business days the amount of time a pharmacy benefits manager or covered entity has to adjust the maximum allowable cost of a drug or medical product or device to which the maximum allowable cost applies for all similar pharmacies in the network for claims submitted in the next payment cycle after an appealing pharmacy's appeal is determined to be valid by the pharmacy benefits manager or covered entity. - Amends TCA Title 4; Title 53; Title 56; Title 63; Title 68 and Title 71.

Assigned to General Subcommittee of Senate Commerce and Labor Committee
Robin Smith (R) Art Swann (R)
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