SB. 140, PBM reform legislation spearheaded by the Indiana Pharmacy Association, has cleared the Senate with near unanimous support. Having gone through a series of amendments, the bill currently proposes the greater of a pharmacy benefits manager’s reimbursement to their own affiliate (by NDC) or actual acquisition cost, plus a professional dispensing fee equal to the Medicaid fee-for-service program’s. The amended bill now also prohibits a health carrier from contracting with a PBM in which they have an ownership interest and prohibits a PBM licensed in Indiana from having an ownership interest in a pharmacy.
NCPA