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More Pharmacy Choices for Medicare Drug Plan Users.

This law aims to increase access and choice of pharmacies for people using Medicare prescription drug plans. It mandates that Pharmacy Benefit Managers (PBMs) must allow any pharmacy meeting standard contract terms to join the network. This change is intended to ensure patients can use local and independent facilities, increasing convenience and service availability.
Key points
Local and independent pharmacies gain the right to participate in Medicare insurance networks if they meet standard contract conditions.
Citizens covered by Medicare will have a wider choice of where to fill their prescriptions, potentially closer to home.
The government will establish standards defining "reasonable and relevant" contract terms for pharmacies by January 2026.
article Official text account_balance Process page
Expired
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Additional Information
Print number: 118_S_2436
Sponsor: Sen. Manchin, Joe, III [D-WV]
Process start date: 2023-07-20
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Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

NO PBMs Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_2436.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-07-20.

What are the main provisions?

Key points include:

  • Local and independent pharmacies gain the right to participate in Medicare insurance networks if they meet standard contract conditions.
  • Citizens covered by Medicare will have a wider choice of where to fill their prescriptions, potentially closer to home.
  • The government will establish standards defining "reasonable and relevant" contract terms for pharmacies by January 2026.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Manchin, Joe, III [D-WV].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health Benefits