EBSAProposed Rule

Request for Information: Prescription Drug Machine-Readable File Requirement in the Transparency in Coverage Final Rule

HealthcareFinance & BankingTechnology

Summary

The federal government is asking for public feedback on new rules that would require health insurance companies to provide prescription drug pricing information in a computer-readable format so patients and doctors can easily compare costs before filling prescriptions. This change aims to make it simpler for people to understand what they'll pay for medications and find the most affordable options.

Key Points

  • 1Health insurers would need to share prescription drug price lists in a standardized digital format that computers can read and process automatically
  • 2Patients and healthcare providers could use this information to compare drug costs across different insurance plans and pharmacies before getting prescriptions filled
  • 3The rule is part of a broader government effort to increase transparency in healthcare pricing and help consumers make informed decisions about their medical care
  • 4The public has until July 3, 2025 to submit comments and feedback on whether this approach will actually work and what challenges might arise
  • 5This affects all health insurance companies that cover prescription drugs and ultimately impacts millions of Americans trying to manage medication costs

Key Dates

Published

June 2, 2025

Comment Deadline

July 3, 2025

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This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.

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