Gov. Sarah Huckabee Sanders (R) announced that she is joining Insurance Department Commissioner Alan McClain in imposing penalties and hearings against four PBMs – Caremark, Magellan, Express Scripts and MedImpact – for allegedly violating a June 28 bulletin from the Insurance department advising PBMs to stop paying pharmacies below the national average drug acquisition cost (NADAC).

Also in Arkansas: Attorney General Tim Griffin sues PBMs for alleged role in the state’s opioid epidemic.

Also in Arkansas, effective August 1, 2024, Medicaid Fee-for-Service reimburses pharmacies for diabetes testing supplies and continuous glucose monitors (CGMs) through the pharmacy billing system (Prime/Magellan). This includes diabetes lancets, meters, test strips, CGMs and CGM supplies.

Finally in Arkansas, the Pharmacists Association (APA) shared that Blue Cross Blue Shield (BCBS) is paying pharmacists to capture A1c and other diabetes interventions for some patients through Outcomes.

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

The Insurance Department (AIO) issued a Bulletin_10-2024 reminding insurers that Arkansas Health and Opportunity for Me (ARHOME) is the payor of last resort. 

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

The Insurance Department issued a Proposed Amended Rule 118: Pharmacy Benefit Manager Regulations in advance of the Public Hearing on September 10, 2024.

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

The Insurance Commissioner (“Commissioner”) issued Advisory Bulletin 8-2024 to all Insurance Department (“AID”) licensed pharmacy benefits managers (“PBMs”) related to PBM reimbursements to pharmacies at minimum levels to NADAC pricing amounts under Ark. Code Ann. § 23-92-506(b)(5)(A). The Commissioner had received several complaints from pharmacies against PBMs in which a PBM has reversed a payment to reduce or to remove a dispensing fee in the pharmacy’s compensation to equalize the payment to NADAC minimum pricing. Questions concerning this Bulletin should be directed to Legal Division at 501-371-2820 or by email at Insurance.Legal@arkansas.gov.

Also in Arkansas, Tim Griffith, the Attorney General is suing PBMs for their role as a cause of the opioid epidemic in Arkansas.

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

The Legislative Council approved a rule that allows Medicaid reimbursement for continuous blood glucose monitors (CGMs).

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

On May 10, the Legislature adjourned its fiscal session sine die after adopting a $6.3 billion state budget.

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

A draft emergency rule by the Insurance Commissioner Alan McClain that would require reimbursement for pharmacies for prescription drug or device services at a rate that is no less than 110% of the current National Average Drug Acquisition Cost (NADAC) plus a $10.50 dispensing fee for all generic and branded drug transactions or services has hit a roadblock. 

Also in Arkansas, the next meeting of the Board of Pharmacy is on June 4 and 5.  

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

The 94th General Assembly fiscal session convened on April 10 with Gov. Sara Huckabee Sanders (R) giving her state-of-the-state address, asking the legislature to approve a $6.3 billion budget.

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

The Insurance Commissioner issued Directive 1-2024 suspending for 60 days the technical filing requirements, audits and recoupments related to claims for providers impacted by the Change Healthcare data breach.

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