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.

SB 2574 prohibits pharmacy benefits managers (PBMs) from altering, restricting, or denying medications ordered by healthcare prescribers without proper process. It requires PBMs to respond to special approval requests within 24 hours for urgent cases or 72 hours for others, with requests deemed approved if unresolved. The bill also bans PBMs from retaliating against pharmacies or prescribers for exercising their rights under the law and mandates annual reporting on approval rates, response times, and rebate arrangements to state departments. These provisions directly affect prescribers, pharmacies, and PBMs by strengthening prescriber authority and increasing transparency in medication access.