MassHealth Drug Pricing 2

SECTION 68.   Notwithstanding any general or special law to the contrary, the executive office of health and human services may determine, subject to required federal approvals, the extent to which to include within its covered services federally-optional coverage of prescribed drugs; provided, however, that MassHealth shall provide coverage of at least one drug in each therapeutic class where at least one drug in the class has demonstrated clinical efficacy, and shall provide coverage of more than one drug in certain therapeutic classes where the class contains multiple drugs that have demonstrated incremental clinical efficacy and value. MassHealth shall also establish an exceptions process that allows for coverage of additional drugs when medically necessary.
 
 

Summary:
This section removes a potential state law barrier to MassHealth's implementation of a closed formulary.