Pharmacy benefit managers act enhancements.

Wyoming's SF 36 (Pharmacy Benefit Managers Act Enhancements) regulates pharmacy benefit managers (PBMs) to ensure fair reimbursement for pharmacies. It requires PBMs to report quarterly on drug reimbursement appeals, prohibits retroactive claim denials or fees like point-of-sale charges, and mandates that pharmacies receive reimbursement at least equal to the national average drug cost (or wholesale cost if unavailable). The bill also bans PBMs from basing payments on patient outcomes without pharmacy agreement, prevents unfair network accreditation requirements, and protects pharmacies from sudden contract changes or retaliation. These provisions directly affect pharmacies and PBMs operating in Wyoming's healthcare system.