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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.
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Additional Information
NO PBMs Act
Print number: S 2436
Sponsor: Sen. Manchin, Joe, III [D-WV]
Process start date: 2023-07-20