NADAC + Advances in New Mexico

NCPA March 25, 2025

New Mexico HB 174, legislation requiring community pharmacies to be reimbursed in the state employee health plan using NADAC plus a professional dispensing fee based on the state Medicaid fee-for-service program’s cost to dispense has now cleared both the House and Senate. Community pharmacies are defined as 1) open to the public for prescriptions to be filled; 2) located in the state or near the state border, if the border is primary source for Medicaid recipients to receive prescription drugs; and not 1) government-owned; 2) hospital-owned; 3) owned by a corporation that owns hospitals; 4) an extension of a medical practice or special facility; 5) owned by a corporate chain of pharmacies with stores outside of the state; or 6) a mail-order pharmacy. The bill can now head to the Governor.

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