Louisiana HB1236 amends pharmacy benefit manager reimbursement guidelines, ensuring pharmacies receive adequate compensation for prescription drugs.

Louisiana HB1236 revises pharmacy benefit manager reimbursement guidelines to ensure pharmacies receive adequate compensation for prescription drugs. The bill amends the definition of "acquisition cost" and introduces the term "professional dispensing fee." It mandates that pharmacy benefit managers use either the National Average Drug Acquisition Costs (NADAC) or wholesale acquisition cost as the prescription drug pricing benchmark. If NADAC is unavailable, pharmacy benefit managers must use the local pharmacy's documented invoice cost or wholesale acquisition cost.

Louisiana HB1236 amends pharmacy benefit manager reimbursement guidelines, ensuring pharmacies receive adequate compensation for prescription drugs.

Louisiana HB1236 revises pharmacy benefit manager reimbursement guidelines to ensure pharmacies receive adequate compensation for prescription drugs. The bill amends the definition of "acquisition cost" and introduces the term "professional dispensing fee." It mandates that pharmacy benefit managers use either the National Average Drug Acquisition Costs (NADAC) or wholesale acquisition cost as the prescription drug pricing benchmark. If NADAC is unavailable, pharmacy benefit managers must use the local pharmacy's documented invoice cost or wholesale acquisition cost.