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S 867 113th Congress Senate

Medicare Prescription Drug Program Integrity and Transparency Act of 2013

Official title: A bill to amend title XVIII of the Social Security Act to provide for pharmacy benefits manager standards under the Medicare prescription drug program, to esta… Show full official titleShow less

Official title: A bill to amend title XVIII of the Social Security Act to provide for pharmacy benefits manager standards under the Medicare prescription drug program, to establish basic audit standards of pharmacies, to further transparency of payment methodology to pharmacies, and to provide for recoupment returns to Medicare.

Introduced: May 6, 2013 See on congress.gov
Health Accounting and auditingHealth information and medical recordsMedicarePrescription drugsPublic contracts and procurement
This bill died when the 113th Congress ended
It never became law before the 113th Congress (2013–2014) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 6, 2013
Read twice and referred to the Committee on Finance.
May 6, 2013
Introduced in Senate
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 Latest action May 6, 2013

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Medicare Prescription Drug Program Integrity and Transparency Act of 2013 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to require each contract entered into with a prescription drug plan (PDP) sponsor with respect to a PDP the sponsor offers to prohibit the PDP from entering into a contract with any pharmacy benefits manager (PBM) to manage the prescription drug coverage provided under such plan, or to control the costs of the prescription drug coverage under it, unless the manager satisfies specified PBM audit and disclosure requirements.

Requires a PBM to provide: (1) a particular aggregate average reimbursement rate for generics or a maximum average discount off of an accepted pharmaceutical pricing benchmark for multi-source generics as a whole ("generic effective rate"), and (2) a process for the generic effective rate to be appealed.

Revises requirements for contracts with PDP sponsors to require that the PDP sponsor or a subcontractor of the sponsor disclose to a pharmacy, at the time when a contract is offered and at least once every seven days, the methodology and actual per unit reimbursement amount for each covered drug for each contracted pharmacy.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 867: Medicare Prescription Drug Program Integrity and Transparency Act of 2013. 113th Congress. Open America. https://openamerica.io/bill/113-S-867/
MLA
"S. 867: Medicare Prescription Drug Program Integrity and Transparency Act of 2013." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-S-867/.
Bluebook (legal)
S. 867, 113th Cong. (2026), https://openamerica.io/bill/113-S-867/.
Markdown link
[S. 867: Medicare Prescription Drug Program Integrity and Transparency Act of 2013](https://openamerica.io/bill/113-S-867/)
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