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Senate introduces PBM transparency bill; rural pharmacists press concerns about reimbursements
Summary
Senators introduced a bill aimed at regulating pharmacy benefit managers (PBMs), including measures to use NADAC rates, ban spread pricing, allow pharmacy appeals to the Department of Insurance, and give the attorney general enforcement power. Rural pharmacists and independent pharmacy owners described low reimbursements and urged support.
Senators introduced legislation intended to regulate pharmacy benefit managers (PBMs) and change reimbursement and transparency standards for pharmacies across South Carolina.
The bill, introduced in the Senate by a bipartisan group of sponsors including Sen. Rankin and others, would: require PBMs to base reimbursements on the national average drug acquisition cost (NADAC) plus a fair dispensing fee; ban spread pricing; allow pharmacies to appeal…
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