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Pharmacists and insurance commissioner press state action on PBMs and claims handling
Summary
Pharmacists described rapid reimbursement cuts, selective retroactive contract changes and vertical integration that threaten independent pharmacies; the insurance commissioner said his office can audit, take complaints and is ramping PBM enforcement including fines tied to NADAC violations.
John Vincent, CEO of the Arkansas Pharmacists Association, told the Senate Insurance & Commerce committee that widespread PBM practices — including vertical integration, selective contract cuts and retroactive addenda — are putting independent pharmacies at risk across the state.
Vincent said national analyses cited during testimony show PBM‑owned pharmacies can receive substantially higher margins than independents and that some PBMs applied payment cuts to smaller Arkansas pharmacies while continuing higher payments to larger or…
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