Ohio Takes Steps to Help Improve Prescription Drug Transparency for Consumers






The Ohio Department of Insurance has issued Bulletin 2018-02 to prohibit health insurers, Third Party Administrators (TPAs) of self-insured plans, and Pharmacy Benefit Managers (PBMs) operating in that state from charging consumers more for prescription drugs than they otherwise would cost without insurance.  The Bulletin also prevents insurers and PBMs from contracting to prevent pharmacists from discussing options with consumers for purchasing prescription drugs at a lower price.

For example, if a health insurer or PBM charges a $20 copay for a prescription drug that can otherwise be purchased for $10 without insurance, the insured can now only be charged $10 in Ohio.

The Bulletin, which is available here, is effective immediately.


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