The bill amends Florida Statutes to revise the definition of "pharmacy benefits plan or program" by excluding plans that exclusively serve a PACE organization. It also mandates that contracts between pharmacy benefit managers and participating pharmacies include a reasonable administrative appeal procedure, allowing pharmacies to challenge maximum allowable cost pricing. The bill introduces new provisions that prohibit pharmacy benefit managers from restricting pharmacies from declining to dispense drugs if the reimbursement is less than the acquisition cost, and from reimbursing pharmacies less than affiliated ones.

Additionally, the bill appropriates $30,901,933 from the Grants and Donations Trust Fund for the implementation of the Ryan White Part B AIDS Drug Assistance Program (ADAP) through June 30, 2026. It defines "low income" for ADAP eligibility and outlines requirements for the program's implementation, including the distribution of medications directly to eligible individuals. The Department of Health is required to submit monthly reports detailing ADAP operations and financials to various state officials, and to adopt emergency rules for the program's implementation, which will remain in effect until June 30, 2026.

Statutes affected:
H 697 Filed: 627.6699, 641.31