Buckeye State Eyes PBM Practices
The Ohio Department of Insurance is now requiring insurers and pharmacy benefit managers to remove so-called “gag order” clauses that prevent pharmacists from disclosing to consumers the most affordable prescription drug option. They would also be prohibited from charging customers a higher amount for prescription drugs than what it would otherwise cost without insurance coverage. Pharmacists can face significant penalties if they disclose the difference. A trio of U.S. senators recently introduced a pair of bills to eradicate gag clauses that payers may use to pocket the difference.