#aaf? ,,congress  #a/ ,session  ,h4 ,r4 
#baae  ,,an ,,act  ,to am5d titles ,,xi 
& ,,xviii ( ! ,social ,security ,act to 
provide great] transp>5cy = disc\nts    
provid$ by manufactur]s1 to include     
real-"t b5efit in=mation z "p ( a       
prescription drug plan's electronic     
prescription program "u ! ,m$ic>e       
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,public 
,disclosure ( ,drug ,disc\nts &         
,real-,"t ,b5efici>y ,drug ,co/ ,act4   
#b4 ,public disclosure ( drug disc\nts  
,section #aaej;,a ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;b-#bc7 is     
am5d$--  7#a7 9 subsection 7c71 9 !     
matt] prec$+ p>agraph 7#a71 by ins]t+   
7o!r ?an z p]mitt$ "u subsection 7e77   
aft] disclos$ by ! ,secret>y2 &  7#b7 by
 add+ at ! end ! foll[+ new subsection3 
7e7 ,public availability ( c]ta9        
in=mation  7#a7 ,9 g5]al ,9 ord] to all[
 ! comp>ison ( ,p,b,ms' ability to      
negotiate rebates1 disc\nts1 direct &   
indirect remun]ation fees1 adm9i/rative 

fees1 & price concessions & ! am\nt (   
su* rebates1 disc\nts1 direct & indirect
 remun]ation fees1 adm9i/rative fees1 & 
price concessions t are pass$ ?r\gh to  
plan sponsors1 beg9n+ ,janu>y #a1 #bjbj1
 ! ,secret>y %all make available on !   
,int]net website ( ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices ! in=mation ) respect 
to ! second prec$+ cal5d> ye> provid$ to
 ! ,secret>y on g5]ic disp5s+ rates 7z  
describ$ 9 p>agraph 7#a7 ( subsection   
7b77 & in=mation provid$ to ! ,secret>y 
"u p>agraphs 7#b7 & 7#c7 ( su*          
subsection t1 z det]m9$ by ! ,secret>y1 
is ) respect to ea* ,,pbm4  7#b7        
,availability ( data ,9 c>ry+ out       
p>agraph 7#a71 ! ,secret>y %all ensure !
 foll[+3  7,a7 ,confid5tiality ,!       
in=mation describ$ 9 su* p>agraph is    
display$ 9 a mann] t prev5ts !          
disclosure ( in=mation1 ) respect to an 
individual drug or an individual plan1  
on rebates1 disc\nts1 direct & indirect 
remun]ation fees1 adm9i/rative fees1 &  
price concessions4  7,b7 ,class ( drug  

,! in=mation describ$ 9 su* p>agraph is 
made available by class ( drug1 us+ an  
exi/+ classification sy/em1 b only if ! 
class conta9s su* numb] ( drugs1 z      
specifi$ by ! ,secret>y 7b n few] ?an   
?ree drugs71 to ensure confid5tiality ( 
propriet>y in=mation or o!r in=mation t 
is prev5t$ to be disclos$ "u subp>agraph
 7,a74  4  #c4 ,requir+ prescription    
drug plan sponsors to include real-"t   
b5efit in=mation z "p ( su* sponsor's   
electronic prescription program "u !    
,m$ic>e program ,section                
#ahfj;,d-#d7;e77#b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;e77#b77 is am5d$-- 7#a7 9  
subp>agraph 7,d71 by /rik+ ,to ! ext5t &
 ins]t+ ,except z provid$ 9 subp>agraph 
7,f71 to ! ext5t2 &  7#b7 by add+ at !  
end ! foll[+ new subp>agraph3  7,f7     
,real-"t b5efit in=mation  7i7 ,9 g5]al 
,n lat] ?an ,janu>y #a1 #bjba1 ! program
 %all implem5t real-"t b5efit tools t   
are capable ( integrat+ ) a prescrib+   
heal? c>e pr(essional's electronic      

prescrib+ or electronic heal? record    
sy/em = ! transmission ( =mul>y & b5efit
 in=mation 9 real "t to prescrib+ heal? 
c>e pr(essionals4 ,) respect to a cov]$ 
"p ,d drug1 su* tools %all be capable ( 
transmitt+ su* in=mation specific to an 
individual enroll$ 9 a prescription drug
 plan4 ,su* in=mation %all include !    
foll[+3  7,i7 ,a li/ ( any              
cl9ically-appropriate alt]natives to su*
 drug includ$ 9 ! =mul>y ( su* plan4    
7,,ii7 ,co/-%>+ in=mation = su* drug &  
su* alt]natives1 includ+ a description (
 any v>iance 9 co/ %>+ bas$ on ! ph>macy
 disp5s+ su* drug or su* alt]natives4   
7,,iii7 ,in=mation relat+ to :e!r su*   
drug is includ$ 9 ! =mul>y ( su* plan & 
any prior au?orization or o!r           
utilization managem5t requirem5ts       
applicable to su* drug & su* alt]natives
 s includ$4  7ii7 ,electronic           
transmission ,! provisions ( subclauses 
7,i7 & 7,,ii7 ( clause 7ii7 (           
subp>agraph 7,e7 %all apply to an       
electronic transmission describ$ 9      

clause 7i7 9 ! same mann] z su*         
provisions apply ) respect to an        
electronic transmission describ$ 9      
clause 7i7 ( su* subp>agraph4  7iii7    
,special rule = #bjba ,! program %all be
 deem$ to be 9 compliance ) clause 7i7 =
 #bjba if ! program complies ) !        
provisions ( section #dbc4afj7;b77#g7 ( 
title #db1 ,code ( ,f$]al ,regulations  
7or a successor regulation71 = su* ye>4 
7iv7 ,rule ( con/ruction ,no?+ 9 ?is    
subp>agraph %all be con/ru$ z to all[ a 
real-"t b5efits tool to /e] an          
individual1 )\t ! cons5t ( ! individual1
 to a p>ticul> ph>macy or ph>macy sett+ 
ov] _! pref]r$ ph>macy sett+ nor        
prohibit ! designation ( a pref]r$      
ph>macy "u su* tool4  4  #d4 ,s5se (    
,congress reg>d+ ! ne$ to exp&          
comm]cially available drug pric+        
comp>ison plat=ms ,x is ! s5se (        
,congress t-- 7#a7 comm]cially available
 drug pric+ comp>ison plat=ms c1 at no  
co/1 help pati5ts f9d ! l[e/ price = _! 
m$ications at _! local ph>macy2  7#b7   

su* plat=ms %\ld be integrat$1 to !     
maximum ext5t possible1 9 ! heal? c>e   
deliv]y ecosy/em2 &  7#c7 ph>macy b5efit
 manag]s %\ld "w to disclose g5]ic & br&
 "n drug prices to su* plat=ms to ensure
 t--  7,a7 pati5ts c b5efit f ! l[e/    
possible price available to !m2 &  7,b7 
ov]all drug prices c be r$uc$ z m       
educat$ pur*as+ decisions are made bas$ 
on price transp>5cy4  ,pass$ ! ,h\se (  
,repres5tatives ,octob] #bh1            
#bjai4;,cl]k4