Limits cost sharing for covered outpatient drugs to the nationwide average consumer purchase price.
The Fair Prescription Pricing Act of 2026 amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to ensure that cost sharing for covered outpatient drugs does not exceed the nationwide average of consumer purchase prices for such drugs. This applies to group health plans and health insurance issuers offering group or individual health insurance coverage. The act also mandates that pharmacy benefit managers comply with these cost-sharing limitations.
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