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Montana pharmacists push PBM reform bill to stop low reimbursements; insurers and PBMs warn of higher premiums
Summary
Representative Marta Bertoglio told the Senate Judiciary Committee HB 740 would set minimum reimbursements and bar certain PBM fee practices to shore up independent and rural pharmacies facing closures in Montana.
Representative Marta Bertoglio opened the Senate Judiciary hearing on House Bill 740, a multi‑part proposal to change how pharmacy benefit managers (PBMs) reimburse pharmacies and to bar certain PBM fee practices.
Bertoglio told the committee the bill’s aim is to prevent pharmacy closures and maintain access to medications in rural Montana by setting NAIDAC (national average acquisition cost)‑based reimbursements, raising dispensing fees toward Medicaid levels and prohibiting clawbacks, virtual‑card fees, and other practices proponents called “spread…
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