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House approves NAADAC-based reimbursement to shore up independent pharmacies
Summary
House Bill 196 passed Feb. 21, 2025, creating a reimbursement formula for drugs dispensed to covered persons under the state health insurance plan using NAADAC-based pricing plus a dispensing fee. Sponsors said the measure will help independent pharmacies in rural Georgia that have been reimbursed below acquisition cost.
The Georgia House passed House Bill 196 on Feb. 21, 2025, a bill intended to guarantee a floor for reimbursement to pharmacies when filling prescriptions under the state employees health insurance plan. Sponsor Representative Kelly said the bill creates a guaranteed reimbursement rate tied to the National Average Drug Acquisition Cost (NAADAC) plus a reasonable dispensing fee.
Nut graf: Sponsors, committee chairs and supportive members described the measure as a step to keep independent pharmacies financially…
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