Gov. Mike Braun (R) signed into law S.B. 140, PBM reform legislation that, among its provisions, establishes reimbursement floors in the commercial market effective Jan. 1, 2026. The bill requires reimbursement not less than the greater of 1) the reimbursement level paid to PBM-owned or affiliated pharmacies or 2) one of the following reimbursement schemes dependent on whether pharmacies hold permits to sell liquor. For pharmacies not holding permits to sell liquor (typically independent), the reimbursement floor is NADAC plus the professional dispensing fee from the Medicaid fee-for-service program. For pharmacies holding permits to sell liquor, the floor will be actual acquisition cost plus a "fair and reasonable" dispensing fee.
NCPA was proud to support the Indiana Pharmacy Association with consultation, comment letters, and grassroots action throughout the many twists and turns for this legislation, including a short-lived Senate amendment to prohibit PBMs from operating pharmacies in the state. NCPA congratulates the IPA for its unwavering advocacy and excellent outcome!
