The gloves are off in the fight for proper reimbursement for Indiana independents

NCPA February 24, 2025

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