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The VA National Formulary Act of 2025 codifies and reforms the Department of Veterans Affairs' drug formulary system by establishing a uniform national formulary managed by the Pharmacy Benefits Management Service, creating a Pharmacy and Therapeutics Committee to review medications, and implementing standardized processes for nonformulary drug requests with appeals rights. The bill requires public communication of formulary decisions, annual reporting to Congress, and establishes timelines for reviewing new FDA-approved drugs and processing nonformulary requests. It also addresses pharmaceutical purchasing agreements to improve pricing and value-based contracting.
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