Hawaii HB 2225

Prohibits discrimination against a pharmacy or pharmacist with respect to participation, referral, reimbursement of a covered service, or indemnification. Establishes beneficiary cost sharing and deductible requirements for prescription drugs. Establishes minimum rates for which pharmacy benefit managers are to reimburse pharmacies for dispensing prescription drugs. For prescription drug benefit plans executed, amended, adjusted, or renewed on or after 7/1/2027, requires a pharmacy benefit manager to use pass-through pricing, or may alternatively use spread pricing if any savings realized by the pharmacy benefit manager are passed on.