Prescription Transparency Act of 2018
A BILL
To amend the Public Health Service Act to nullify certain contractual provisions prohibiting or penalizing a pharmacist’s disclosure of the availability of therapeutically equivalent alternative drugs, or alternative methods of purchasing the prescription drug, that are less expensive, and for other purposes.
Sec. 2 Prohibited gag provisions
“320B. Prohibited gag provisions
“(a) In general—No contract that is between—
“(1) a health insurer or any entity that provides pharmacy benefits management services on behalf of a health insurer (commonly referred to as a “pharmacy benefit manager”); and
“(2) a pharmacy, pharmacist, or a pharmacy's contracting agent, such as a pharmacy services administrative organization,
“(b) Null and void—Any provision described in subsection (a) in a contract described in subsection (a) is null and void.
“(c) Applicability—Subsection (a) applies only with respect to contracts, and contract addenda, entered into or renewed on or after the date of enactment of the Prescription Transparency Act of 2018.
“(d) Regulations and guidance—The Secretary may issue such regulations and guidance as may be necessary for implementation of this section.
“(e) Definitions—In this section:
“(1) The term drug has the meaning given to such term in section 201 of the Federal Food, Drug, and Cosmetic Act.
“(2) The term health insurer means a health insurance issuer (as defined in section 2791) offering health insurance coverage (as defined in such section) in the individual or group market or a sponsor of a group health plan (as defined in such section).
“(3) The term prescription drug means a drug subject to section 503(b)(1) of the Federal Food, Drug, and Cosmetic Act.”