MCL - Act 11 of 2022
AN ACT to license and regulate pharmacy benefit managers; to require reporting of certain data; to provide for the powers and duties of certain state governmental officers and entities; to provide remedies; to require the promulgation of rules; and to require and to provide sanctions for violation of this act.
History: 2022, Act 11, Eff. Jan. 1, 2024
| Document | Type | Description |
|---|---|---|
| Section 550.811 | Section | Short title. |
| Section 550.815 | Section | Definitions; A to I. |
| Section 550.817 | Section | Definitions; M to P. |
| Section 550.819 | Section | Definitions; R to W. |
| Section 550.821 | Section | Pharmacy benefit manager; licensure; application requirements; modification notice; grounds for refusal, revocation, denial, or suspension; fines; notice and hearings; investigation of officers, directors and owners; renewal. |
| Section 550.823 | Section | Promulgation of rules. |
| Section 550.825 | Section | Contractual responsibilities; conflict of interest; exception for certain audits. |
| Section 550.827 | Section | Pharmacy benefit manager network; report; waiver; prohibition on spread pricing and fees for electronic processing. |
| Section 550.829 | Section | Prohibited conduct. |
| Section 550.831 | Section | Contractual restrictions and limitations with pharmacists or pharmacies; disclosure of costs; payment at point of sale. |
| Section 550.833 | Section | Transparency report; requirements; exempt from freedom of information act; report to legislature; inapplicable to Medicaid contracts. |
| Section 550.837 | Section | Maximum allowable costs; pharmacy benefit manager duties. |
| Section 550.838 | Section | Authorization to conduct audit; process and duties; written report; extrapolation audit prohibition; inapplicable to certain investigations; carrier pharmacy audits not impaired or superseded. |
| Section 550.839 | Section | Retail pharmacies; contractual restrictions and limitations; use of untrue, deceptive, or misleading advertisements; reversal and resubmission of claims; termination of pharmacy from pharmacy benefit manager network; retaliation prohibited; "personal representative" defined. |
| Section 550.840 | Section | Enforcement of act; examination and audit. |
| Section 550.841 | Section | Contract compliance; license requirement. |
| Section 550.843 | Section | Retention schedule; records, books, papers, and other data; destruction or disposal of certain documents prohibited. |
| Section 550.845 | Section | Scope of act. |