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S. 2553 (115th): Know the Lowest Price Act of 2018

The text of the bill below is as of Oct 3, 2018 (Passed Congress).

One Hundred Fifteenth Congress of the United States of America

2d Session

S. 2553



To amend title XVIII of the Social Security Act to prohibit Medicare part D plans from restricting pharmacies from informing individuals regarding the prices for certain drugs and biologicals.


Short title

This Act may be cited as the Know the Lowest Price Act of 2018.


Prohibition on limiting certain information on drug prices


In general

Section 1860D–4 of the Social Security Act (42 U.S.C. 1395w–104) is amended by adding at the end the following new subsection:


Prohibition on limiting certain information on drug prices

A PDP sponsor and a Medicare Advantage organization shall ensure that each prescription drug plan or MA–PD plan offered by the sponsor or organization does not restrict a pharmacy that dispenses a prescription drug or biological from informing, nor penalize such pharmacy for informing, an enrollee in such plan of any differential between the negotiated price of, or copayment or coinsurance for, the drug or biological to the enrollee under the plan and a lower price the individual would pay for the drug or biological if the enrollee obtained the drug without using any health insurance coverage.



Effective date

The amendment made by subsection (a) shall apply to plan years beginning on or after January 1, 2020.

Speaker of the House of Representatives

Vice President of the United States and President of the Senate