Managed Healthcare Executive March 12, 2025
The new bill would also require state Medicaid programs to report National Average Drug Acquisition Costs (NADAC) as a way to increase transparency in drug pricing.
Several weeks after the House Committee on Energy and Commerce’s Subcommittee on Health held a hearing to discuss creating competition in the pharmacy benefit manager industry, several senators have introduced a bipartisan bill that would limit PBMs’ spread pricing at pharmacies used by Medicaid beneficiaries.
Senators Peter Welch, a Democrat from Vermont, Roger Marshall, a Republican from Kansas, Mark Warner, a Democrat from Virginia, and Bill Cassidy, a Republican from Louisiana, have introduced the Protecting Pharmacies in Medicaid Act, which would require Medicaid’s payments to PBMs to be passed directly to pharmacies, excluding administrative...
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