Myers and Stauffer is the vendor contracted to conduct the annual prescription volume survey of pharmacy providers on behalf of the Department of Health & Welfare. In accordance with the Idaho Administrative Code 16.03.09.665.01j, the prescription volume data collected from pharmacies will be used to determine their dispensing fee tier for the following calendar year. Each year, surveys are distributed starting May 1 and will be due by May 31. Providers who fail to participate in the survey will be placed in the lowest dispensing fee tier of $11.51. Below are the current dispensing fee tiers based on Total Annual Prescription Volume: 

• Fewer than 40,000 claims: $15.11 dispensing fee 

• Between 40,000 and 69,999 claims: $12.35 dispensing fee 

• 70,000 or greater claims: $11.51 dispensing fee 

Please note that the requested information applies to total pharmacy volume and is not limited to prescription/sales information related to Department of Health & Welfare recipients unless otherwise indicated. 

2025 Idaho Prescription Volume Survey 

Providers should fill out the survey form for all pharmacy NPIs within their organization that are enrolled with Idaho Medicaid. For providers with 5 or more pharmacy NPIs, please upload via the “multiple store” submission option at the survey link above. For questions or help completing the survey, please contact Myers and Stauffer at pharmacy@mslc.com or toll free at 800-591-1183. 

Also in Idaho, Myers and Stauffer is working with the Department of Insurance to conduct a survey of costs incurred by pharmacies to dispense prescription medications to Idaho residents. All pharmacies that dispense prescriptions to Idaho residents are requested to complete the pharmacy dispensing fee survey.  

Myers and Stauffer mailed a packet with survey information to pharmacies on April 17. Providers can also access the survey documents and download an electronic version of the survey tool located on the Dispensing Fee Survey webpage.  

It is very important that all pharmacies cooperate fully by filing an accurate cost survey.  Pharmacies are encouraged to return the requested information as soon as possible, but forms must be returned no later than May 29. 

If you have any questions, please call toll free at 1-800-374-6858 or send an email to disp_survey@mslc.com.  

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

Alex Adams, former executive director of the Board of Pharmacy, has been tapped to serve as the US Department of Health and Human Services assistant secretary for family support. The US Senate, which confirms presidential nominations, received his nomination. The State Legislature introduced a House Joint Memorial No. 8 to honor his work in the state.

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

Gov. Brad Little (R) signed HB 231, legislation expanding grocery tax credit to offset the sales tax Idahoans pay on food. The new law increases the grocery tax credit to $155 a year, an increase above the current amount of $120 per year.

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

NACDS submitted comments to the Senate Health Care and Wellness Committee in support of SB 503, which includes to ensure network adequacy, requirements that PBMs reimburse pharmacies at a minimum of the acquisition cost of a drug and an adequate professional dispensing fee (PDF) equal to the Medicaid fee-for-service (FFS) PDF. Also, the bill prohibits steering patients, defines specialty drugs, prohibits certain fees, and provides additional oversight and enforcement in the Office of the Attorney General.

Also in Indiana, SB 140, a more limited PBM reform bill modeled after the Kentucky law, passed the Senate Health Care and Wellness Committee and was referred to the Senate Appropriations Committee for further action. This bill requires the Insurance Commissioner to determine minimum reimbursement for a professional dispensing fee based on a cost of dispensing study done every two years. It also requires PBMS to file an annual report on adequate networks and establishes a process for filing complaints.

Also in Indiana, HB 1606, a bill prohibiting spread pricing, was referred to the House Insurance Committee.

Also in Indiana, SB 96, immunization clean-up legislation addressing age restrictions and the list of immunizations allowed to be administered by a pharmacist was referred to the Senate Public Policy Committee.

Finally in Indiana, HB 1571, a scope of practice expansion and clean-up bill, address multiple issues including immunizations, Test and Treat, pharmacy technician duties, MAT and payment for services. The bill was referred to the House Public Health Committee.

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

Additional PBM reforms, including filing of complaints to report PBM non-compliance with PBM laws, went into effect on January 1. Pharmacies may now send complaints to the Department of Insurance either using the online complaint form or emailing them to pbm@doi.idaho.gov. 

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

The Board of Pharmacy posted its June 2024 newsletter.

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

NACDS sent a letter to Gov. Brad Little (R) encouraging him to sign HB 596, legislation to further regulate PBMs (Pharmacy Benefit Manager) (Pharmacy Benefit Manager) in the state and, on April 1, the Governor signed the bill and issued this transmittal letter. The bill includes provisions that would prohibit the use of "spread pricing." HB 596 also provides other vital reforms, including requiring 100% pass-through of manufacturer rebates to plan sponsors to keep patient premiums low, requiring that in-network pharmacies receive reasonable dispensing fees and implementing full disclosure and transparency requirements between the PBM (Pharmacy Benefit Manager) and the health plan, payor, and pharmacy. 

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

On March 18, Gov. Grad Little (R) signed HB 527,legislation putting into statute the current practices of pharmacy that were either part of rule or standard procedures, but not codified. This will give stability to the changes that have helped to expand access to pharmacy services in the state.  

Also in Idaho, HB 596, related to PBM (Pharmacy benefit managers) reform, was amended, and passed the Senate. It has been referred to the House Health & Welfare Committee for concurrence. This legislation would add new definitions; outline requirements that make contracts with pharmacies transparent and fair; require PBMs (Pharmacy Benefit Managers) to provide transparent pricing on drugs and require PBMs (Pharmacy benefit managers) to report to the Department of Insurance in a transparent way.  

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

HB 527 passed the House and was assigned to the Senate Health & Welfare Committee where it was reported out of committee with “Do Pass Recommendation.” If enacted, this bill puts into statute the current practices of pharmacy that were either part of rule or standard procedures, but not codified. This will give stability to the changes that have helped to expand access to pharmacy services in the state. 

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