| This bill specifies the fiduciary duties of pharmacy |
| benefits managers and the obligation to serve the covered |
| entities with whom they contract and the covered individuals |
| provided health care benefits by the covered entities. The |
| bill prohibits contractual terms that are inconsistent with |
| the pharmacy benefits manager's fiduciary duties. The bill |
| requires payment to a pharmacy benefits manager based on |
| volume of certain drugs or as a result of substitution of |
| drugs to be passed on to the covered entity or covered |
| individuals. The bill requires disclosure of financial terms |
| that apply between a pharmacy benefits manager and a |
| manufacturer or labeler. The bill requires consultation with |
| and agreement of the prescribing health professional or a |
| representative of that professional before a pharmacy benefits |
| manager may switch a prescription drug to be dispensed to a |
| covered individual. The bill prohibits agreements to waive |
| provisions of the law. Violations of the law are violations of |
| the Maine Unfair Trade Practices Act and are enforceable by |
| private action or the Attorney General. |