Pharmacy, Pharmacists - As introduced, prohibits a pharmacy benefits manager from certain listed actions, including modifying, restricting, or denying a medication ordered by a healthcare prescriber; requires that a request for a formulary exception or prior authorization be granted or denied by a pharmacy benefits manager within a specified amount of time or such request is deemed approved. - Amends TCA Title 53; Title 56; Title 63 and Title 71.

HB 2333 restricts pharmacy benefits managers (PBMs) in Tennessee by prohibiting them from modifying, restricting, or denying medications ordered by healthcare prescribers without proper process. It requires PBMs to respond to formulary exception or prior authorization requests within 24 hours for urgent cases or 72 hours otherwise, with requests deemed approved if unanswered. The bill also bans PBMs from retaliating against pharmacies or prescribers for exercising rights under the law and mandates annual reporting of response times and approval rates to state departments. This directly affects prescribers, pharmacies, and PBMs by protecting clinical decision-making and increasing transparency in medication access.