AN ACT CONCERNING PHARMACY BENEFITS MANAGER REFORM.

SB 758 prohibits pharmacy benefits managers (PBMs) from charging post-transaction fees or reclaiming payments from pharmacies after prescriptions are filled. It requires PBMs to pass drug manufacturer rebates directly to patients at the pharmacy counter and bans fees for formulary placement or tier access. The bill also decouples PBM compensation from drug costs and mandates transparency for group purchasing organizations contracting with PBMs. Pharmacies and patients directly benefit from these changes, while the Attorney General will oversee compliance to ensure rebate transparency and prevent cost-shifting.