Issue No. 5 – Pharmacy and Therapeutics Committees

Issue No. 5 – Pharmacy and Therapeutics Committees

Executive Summary

Introduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of Benefit and Payment Parameters for 2016 final rule (Final Rule 2016), which finalized changes to the EHB standard. The Final Rule 2016 significantly modified the EHB prescription drug requirements. This fact sheet, focusing on Pharmacy and Therapeutics (P&T) Committees, is the fifth in a series of NHeLP fact sheets describing the EHB prescription drug standard.

Related Content

For almost 50 years, the National Health Law Program has fought to expand access to quality health care to low-income individuals and underserved communities. Today we are pleased to launch a newly designed website for our future work to make health care a reality for all people. Please take time to peruse our new site, and sign up for our email updates to learn about us, watch the work we do, and become engaged.

Continue to site