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Board approves 2026 plan document updates and accepts PBM market pricing amendment
Summary
The PEP board approved technical updates to master plan documents for 2026 (behavioral interventions, genetic counseling, speech therapy age expansion, wig eligibility for alopecia, behavioral health visit clarifications) and accepted a consultant recommendation to amend the Express Scripts contract to improve net pricing for plan year 2026, retroactive to July 1, 2025 if executed.
The Public Employees Benefits Program board approved a package of master plan document (MPD) updates and technical changes affecting plan year 2026, and separately approved a market‑check amendment to the pharmacy benefit manager contract.
MPD updates presented by Leslie Biddleston include: clarifying behavioral interventions language and visit limits (already effective July 1); explicitly adding eating disorders and licensed dietitian coverage for those treatments; a genetic…
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