Minnesota Community Pharmacy Patient Access and Fair Reimbursement Act ensures fair reimbursement for community pharmacies and bans unfair practices.

The Minnesota Community Pharmacy Patient Access and Fair Reimbursement Act establishes fair reimbursement standards for community pharmacies and prohibits unfair practices by pharmacy benefit managers (PBMs). It mandates that PBMs pay community pharmacies based on the National Average Drug Acquisition Cost (NADAC) or Wholesale Acquisition Cost (WAC) plus a professional dispensing fee. The act bans spread pricing, requiring PBMs to remit 100% of payments to pharmacies, less patient cost-sharing. It also prohibits retroactive claim denials and patient steering.

Minnesota Community Pharmacy Patient Access and Fair Reimbursement Act ensures fair reimbursement for community pharmacies and bans unfair practices.

The Minnesota Community Pharmacy Patient Access and Fair Reimbursement Act establishes fair reimbursement standards for community pharmacies and prohibits unfair practices by pharmacy benefit managers (PBMs). It mandates that PBMs pay community pharmacies based on the National Average Drug Acquisition Cost (NADAC) or Wholesale Acquisition Cost (WAC) plus a professional dispensing fee. The act bans spread pricing, requiring PBMs to remit 100% of payments to pharmacies, less patient cost-sharing. It also prohibits retroactive claim denials and patient steering.