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Wide testimony for and against PBM reform bill as Montana committee hears HB 740
Summary
Representative Marta Bertoglio told the Senate Judiciary Committee HB 740 would shift pharmacy reimbursement to an NAIDAC cost-plus model with higher dispensing fees to protect independent pharmacies; dozens of independent pharmacists and healthcare providers supported it while insurers, PBMs, and labor groups warned it would raise premiums and conflict with ERISA and worker compensation law.
Representative Marta Bertoglio opened the committee hearing on House Bill 740, framing it as a response to declining reimbursements from pharmacy benefit managers (PBMs) and closures of independent pharmacies in rural Montana. She asked lawmakers to adopt NAIDAC (national average drug acquisition cost)-based pricing and a higher dispensing fee to make community pharmacies financially viable and preserve local access to medications.
Proponents included many independent pharmacists, Montana Family Pharmacies representatives and…
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