Committee advances bill limiting PBM modifiers for 340B claims after debate over clearinghouses
House Bill 3409A, which restricts pharmacy benefit managers and insurers from requiring certain modifiers on 340B drug reimbursement claims when the 340B data are submitted to a clearinghouse, was advanced to the Senate floor after debate about transparency and the role of clearinghouses in handling 340B program funds.
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Senator Patterson opened a work session on House Bill 3409A, which would restrict pharmacy benefit managers (PBMs) and insurers from requiring a 340B modifier on claims for covered entities under specified conditions.
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