Rx ACCESS Act
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Summary
The Rx ACCESS Act amends the TRICARE pharmacy benefits program to expand beneficiary choice in how they receive prescription medications and to establish new reimbursement standards for retail pharmacies. Beginning October 1, 2026, eligible beneficiaries may elect to receive non-generic maintenance medications through any available means. The bill requires pharmacy benefit managers to reimburse retail pharmacies at rates based on actual acquisition costs plus a professional dispensing fee aligned with state Medicaid rates, and prohibits additional fees. The bill also mandates annual audits by the Comptroller General to assess reimbursement adequacy and pharmacy network access.
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