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Kansas committee hears mixed evidence on PBM reform, NADAC plus $10.50 dispensing fee
Summary
Supporters pointed to West Virginia data showing NADAC plus a $10.49 dispensing fee and pass-through rebates narrowed rate requests; opponents including PBM trade groups warned of cost-shifts and legal risks. Committee questioned legal preemption, transparency, and employer-specific impacts.
The Senate committee heard competing testimony Tuesday on Senate Bill 360, a proposal to require pharmacy reimbursement based on NADAC (the National Average Drug Acquisition Cost) plus a $10.50 professional dispensing fee and to mandate pass-through of rebates.
Proponents and a West Virginia official said the state’s similar policy, with a $10.49 dispensing fee, produced smaller-than-expected rate increases and, in some filings, net decreases once rebates were passed through. “We have three years of data showing the pass-through rebate effect after changing to NADAC plus $10.49 does not cause the rate to go up,” a West Virginia official said, offering year-by-year…
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