Arizona House Bill 2429 was introduced, proposing the creation of Pharmacy Management Networks (PMNs) for managing injured employees’ medications.
According to the bill, an employer may establish a PMN, which would be allowed to contract for reimbursement amounts different than the fee schedule. When an employer creates an PMN, they must notify employees of the process for filling a prescription. Employers must also notify employees of how to use an PMN after an injury, including a provider list and instructions.
Injured employees must use PMN providers unless claim compensability is disputed. PMNs must accept all licensed, compliant providers and cannot charge fees for dispensing, processing, or billing. PMNs must offer timely dispute resolution, comply with state audits, and reimburse third-party billers at pharmacy contractual rate. While exempt from Pharmacy Benefit Manager requirements, PMNs must register with the Industrial Commission, pay fees, and adhere to state regulations.
Out-of-network prescriptions are reimbursed at fee schedule rates until employees are notified to use the PMN for future medications.
If enacted, the bill will take effect December 31, 2025.