§ 59A-61-9 — Prohibition on discrimination against a covered entity

A. As used in this section: (1) "340B drug" means a drug that is purchased at a discount in accordance with the 340B program requirements; (2) "340B program" means the federal drug pricing program created pursuant to 42 U.S.C. Section 256b; (3) "covered entity" means an entity participating in the 340B program; and (4) "pharmacy benefits manager" means an entity that provides pharmacy benefits management services. B. A pharmacy benefits manager or a third party shall not discriminate against a covered entity on the basis of its participation in the 340B program by: (1) reimbursing a covered entity for a 340B drug at a rate lower than that paid for the same drug to pharmacies, similar in prescription volume, that are non-covered entities; (2) assessing a fee, chargeback or other adjustment to the covered entity that is not assessed to non-covered entities; (3) imposing a provision that prevents or interferes with a person's choice to receive 340B drugs from a covered entity; or (4) imposing terms or conditions that differ from terms or conditions imposed on a non-covered entity, including: (a) restricting or requiring participation in a pharmacy network; (b) requiring more frequent auditing or a broader scope of audit for inventory management systems using generally accepted accounting principles; (c) requiring a covered entity to reverse, resubmit or clarify a claim after the initial adjudication, unless these actions are in the normal course of pharmacy business and not related to the 340B program; or (d) charging an additional fee or provision that prevents or interferes with an individual's choice to receive a 340B drug from a covered entity.

Legislative History

Laws 2023, ch. 206, § 7.