New Jersey seeks to ban PBMs, insurers from charging higher copays than actual price of drug

A proposed bill in New Jersey would ban insurers and pharmacy benefit managers from charging a higher copay than the cash price of a medication, according to New Jersey 101.5, a local radio station.

The bill would also prohibit "gag clauses" in contracts between PBMs or insurers and pharmacies. Gag orders prevent pharmacists from notifying patients they can obtain the drug for cheaper without using insurance.  

President Donald Trump signed a bill into law last year that banned gag orders. Implementation of the law is ongoing.

The New Jersey measure was unanimously approved by the Senate in late February. It now awaits Assembly approval.

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