The General Assembly will reconvene in a special session before July 1, due to missing the June 1 budget deadline. At that time, we expect them to consider pharmacy's priority issue, reforming the managed care pharmacy benefit under a state directed, transparent, pass-through single PBM. The new structure, similar to Ohio and Kentucky's, is included in both the Senate and House Health Omnibus bills (HF 2435/SF 2669). If adopted, pharmacy reimbursement would be set at Actual Acquisition Cost (AAC) + the current fee-for-service professional dispensing fee. NACDS played a key role in advocating for this structure and successfully secured support from the Administration and Department of Health and Human Services.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.