Pennsylvania Enacts Prescription Drug Coverage Reforms

The Pennsylvania Insurance Department has introduced measures to  Wayne Pike News. These reforms are part of the ongoing implementation of the Pharmacy Benefit Manager reform law Act 77 of 2024. Under the new law, the state the state will require more openness from PBMs—intermediaries that negotiate drug prices and set co-pays—includes a new process allowing pharmacies to challenge the classification of specialty drugs. Starting in 2026, PBM’s will be requires disclose their operations and ensuring pharmacies cannot charge higher prices than what customers would pay out-of-pocket.