Analyzing Present and Pending State Drug Transparency Laws

March 21, 2024 2:45pm

Stephen Forster
Partner
Morgan Lewis Bockius LLP

Trevor Wear
Partner
Sidley Austin LLP

This session will explore the rise of state transparency laws across the country and how they are working in conjunction with government payor programs.

  • Identifying states with current and pending drug pricing transparency laws under:
    • Medicaid
    • Medicare
    • PHS 340B
  • Assessing state drug price transparency reporting
  • Understanding how states are using the information manufacturers report
  • Addressing challenges with and finding solutions for reporting under non-uniform and sometimes conflicting state laws
    • Can a state request supplemental rebates within these models?
    • If the rebate is denied, can the state exclude the drug from Medicaid coverage?