TACT Act of 2023

The TACT Act of 2023 requires health insurance plans and pharmacy benefit managers to ensure timely access to oral medications by setting clear timeframes for pharmacies. Pharmacies must confirm prescription receipt within 24 hours and state by 72 hours whether they can dispense the medication, providing alternatives if they cannot meet the deadline. Health plans must cover medications filled at approved alternative pharmacies - licensed, within reasonable distance, and able to dispense within 48 hours - under the same cost-sharing terms as contracted pharmacies, without extra prior authorization. The law applies to plan years starting January 1, 2024, affecting patients, pharmacies, and health insurers.