California Texas Louisiana New York Iowa Oregon Nebraska Missouri Washington Ohio Colorado Tennessee Pennsylvania Florida Alabama North Carolina South Carolina Arkansas Kentucky Oklahoma Michigan Indiana Illinois Virginia Massachusetts Maryland Nevada Minnesota Arizona Alaska New Mexico Mississippi Wisconsin Kansas Georgia Maine Montana West Virginia Vermont North Dakota Utah Wyoming South Dakota Idaho RH

About Michael Silber

This author has not yet filled in any details.
So far Michael Silber has created 2568 blog entries.

Colorado

Gov. Jared Polis (D) signed SB25-289, a law creating a new Drug Donation Program to facilitate the safe donation and dispensing of unused medicine to Coloradans in need. The program expands upon the drug donation provisions and the corresponding rules and regulations for the Board of Pharmacy; it establishes parameters for participation and sets directives for donation recipients on the requirements for record retention in the program; outlines how to distribute donated medicine; and identifies what types of medicine can be distributed through the donation program.  

Also in Colorado, the Health Care Policy & Financing (HCPF) annual Pharmacy Stakeholder Webinar is on August 12 from 9:00 am-11:00 am MT. Discussion will focus on emerging federal threats to Medicaid, state budget challenges, Medicaid cost trend drivers and priorities for fiscal year 2025-2026. Participants are encouraged to register for the webinar in advance.  

Finally in Colorado, SB25-308 creates a cash fund for state dollars designated to 1115 waiver programs such as health related social needs and re-entry services for those leaving prison or jail after incarceration.  

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2025-07-11T09:12:48-04:00July 11, 2025|Colorado|

Connecticut

On July 8, 2025, Gov. Ned Lamont (D) signed HB 7192, An Act Implementing the Recommendations of the Bipartisan Drug Task Force. The law enhances the accountability and transparency of PBMs and health carriers and implements recommendations from the Bipartisan Drug Task Force which includes some of NACDS’ PBM policy priorities, including any willing provider. NACDS participated in the task force and submitted testimony when both bills had hearings. 

For more information, please contact NACDS’ Mike Sargent at 207-272-6435.

2025-07-11T09:12:05-04:00July 11, 2025|Connecticut|

Delaware

On July 1, the Board of Pharmacy held an emergency meeting and adopted emergency regulations regarding pharmacy closures in the state; see Department of State Division of Professional Regulation Emergency Order for details. Additionally, the Department of Insurance issued Domestic and Foreign Bulletin No. 153 RE: Department Expectations in Response to Emergency Order by the Board of Pharmacy and Pharmacy Closures; see the bulletin for details regarding emergency prescription coverage; prior authorizations and prescription transfer; pharmacy reimbursement and network adequacy; consumer protection and transparency; and compliance & enforcement. For questions, comments or requests for clarification, please email compliance@delaware.gov.

For more information, please contact NACDS’ Mike Sargent at 207-272-6435.

2025-07-11T09:11:34-04:00July 11, 2025|Delaware|

Hawaii

Gov. Josh Green (D) signed SB 1245 recognizing pharmacists as healthcare providers and ensuring health plan reimbursement for services they provide withing their scope of practice. Beginning July 1, 2026, private and public health plans in the state must reimburse licensed pharmacists for covered health services of contracted pharmacies when those services are delivered within the pharmacists’ scope of practice. 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

2025-07-11T09:11:02-04:00July 11, 2025|Hawaii|

Idaho

The Department of Insurance (DOI) published its June 2025 newsletter. As a reminder pharmacy providers may submit inquiries and complaints on the DOI website. Complete a separate form for each PBM if there are multiple complaints. To date, the DOI has received 43 complaints from pharmacies regarding PBMs. Of these, 36 remain open or pending, while seven have been closed. Complaints may include multiple issues, with the most common being related to Maximum Allowable Cost (MAC) appeals and dispensing fees. The DOI Consumer Affairs team is also assisting the PBM Examiner with investigating reported concerns. For questions and information, please contact PBM@doi.idaho.gov.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

2025-07-11T09:10:31-04:00July 11, 2025|Idaho|

Illinois

Electric bills are expected to surge. What you need to know is that Midcontinent Independent System Operator (MISO) and PJM capacity auctions cleared at significantly higher prices for the 2025-2026 Planning Year: June 1, 2025, through May 31, 2026. MISO and PJM are the Regional Transmission Organizations (RTOs) that coordinate the movement of wholesale electricity in Ameren Illinois and ComEd electric territories, respectively. Ameren Illinois and ComEd electric customers will soon see the effects of these higher prices for the first time on invoices received in June/July. Ameren Illinois, ComEd, nor the suppliers have any control over these charges, nor do they have any power to change them. Due to a multitude of variables, Retail Energy Suppliers (RES) are handling this additional cost in many ways, according to supply contract terms and conditions as well as internal policy decisions. 

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2025-07-11T09:09:59-04:00July 11, 2025|Illinois|

Indiana

The Health Coverage Programs (IHCP) expanded provider enrollment to include licensed pharmacists. This new provider specialty allows eligible pharmacists to enroll as rendering providers linked to a group provider. Group providers may be reimbursed for evaluation and management (E/M) services related to hormonal contraceptives provided by IHCP-enrolled pharmacists, as outlined in Indiana Code (IC 25-26-25). Pharmacists may enroll as IHCP rendering providers using the IHCP Provider Healthcare Portal or via paper application. An active pharmacist license and successful completion of training as specified in IC 25-26-25 are required for IHCP pharmacist enrollment.   

Also in Indiana, the Health Coverage Programs (IHCP) Drug Utilization Board (DUR) approved updates to the prior authorization (PA) criteria, Statewide Uniform Preferred Drug List (SUPDL) and Preferred Brand Drug List. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2025-07-11T09:09:33-04:00July 11, 2025|Indiana|

Kentucky

The Department of Insurance (DOI) issued Bulletin 2025-03 to provide details regarding its enforcement of SB 188 of 2024, the comprehensive PBM commercial market reform law. As a reminder, the rate floor for chain pharmacies will not be effective until the DOI cost of dispensing study is completed. 

Also in Kentucky, MedImpact issued a third reminder to pharmacies regarding recent changes to its covered diabetic supplies list. 

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2025-07-11T09:08:31-04:00July 11, 2025|Kentucky|
Go to Top