Limits cost sharing for covered outpatient drugs to the nationwide average consumer purchase price.

The Fair Prescription Pricing Act of 2026 amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to ensure that cost sharing for covered outpatient drugs does not exceed the nationwide average of consumer purchase prices. This applies to drugs dispensed by in-network pharmacies under group health plans or group or individual health insurance coverage. The act also mandates that pharmacy benefit managers comply with these cost-sharing limitations.

Limits cost sharing for covered outpatient drugs to the nationwide average consumer purchase price.

The Fair Prescription Pricing Act of 2026 amends the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to ensure that cost sharing for covered outpatient drugs does not exceed the nationwide average of consumer purchase prices. This applies to drugs dispensed by in-network pharmacies under group health plans or group or individual health insurance coverage. The act also mandates that pharmacy benefit managers comply with these cost-sharing limitations.