Pharmacists Fight Back in Medicare and Medicaid Act
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Summary
This bill amends Medicare and Medicaid law to establish requirements for pharmacy benefit managers (PBMs) and prescription drug plans regarding drug reimbursement, rebate pass-through, and pharmacy steering. Starting in 2027, PBMs must reimburse in-network pharmacies based on national average drug acquisition cost plus a markup, pay state-level dispensing fees without passing costs to patients, and pass manufacturer rebates through to patients at the point of sale. The bill prohibits PBMs from steering patients to affiliated pharmacies and requires annual compliance reporting.
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