Pharmacy MAC Rights

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Massachusetts PBM MAC rights

Status No usable MAC appeal right

Read this one carefully. The research turned up something about this state that could mislead you if skimmed — usually a repeal, a renumbering, or a stale official page. The detail is in the fields below.

What the law says
No MAC law. M.G.L. c. 176Y (created by Ch. 342 of the Acts of 2024) has exactly four sections — definitions, licensure, examination, broker-payment prohibition — and zero hits for "maximum allowable." H.4493 would add a full MAC framework; it was referred to House Ways & Means 4 Aug 2026 and remains pending. ⚠️ One open gap: 211 CMR 157.00 could not be retrieved (mass.gov returns hard 403 to every automated method, confirmed twice). A search snippet suggests it defines "Maximum Allowable Cost." Needs a manual browser pull before publishing Massachusetts
How we determined that
M.G.L. c. 176Y · H.4493

This is worth knowing precisely

Several widely used sources still describe rights in states that repealed them, or quote bills that never passed. If you have been told you have an appeal right here, check the statute before you rely on it. What we found.

Your contract may still give you more than the statute does, and the request letter costs you nothing to send.

Sources

Think this is wrong? Tell us and we will check it. A repeal we missed, or a provision we read past, is exactly what we want to hear about.

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