Member Lauren Moldawer recently connected with AIS Health about a Florida pharmacy benefit manager (PBM) law, the Prescription Drug Reform Act (PDRA). The Act aims to lower drug costs by requiring PBMs to forward all manufacturer rebates to plan sponsors and prohibiting mandatory mail-order pharmacy use for enrollees, among other reforms.

There are significant data concerns related to the law, as well. Lauren discusses how protected health information doesn’t belong to PBMs from a HIPAA perspective. She says, “PBMs have raised concerns as to whether they are allowed to share their client data under their business associate agreements with the health plan clients. There are also concerns about how the state will store and use the data.” 

Source

AIS Health