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FL H0657

FL H0657
Medicaid Pharmacy Discounted Drug Prices


summary

Introduced
02/17/2025
In Committee
02/26/2025
Crossed Over
Passed
Dead
06/16/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to Medicaid pharmacy discounted drug prices; creating s. 409.9067, F.S.; requiring drug manufacturers to sell specified drugs to Medicaid pharmacies at 340B Drug Pricing Program discounted prices; providing delivery methods for such drugs; requiring drug manufacturers to pay rebates to the state under certain circumstances; requiring pharmacy benefits managers participating in the Medicaid program to pay Medicaid pharmacies for specified drugs at 340B Drug Pricing Program discounted prices; requiring drug wholesalers and distributors to sell specified drugs to Medicaid pharmacies at 340B Drug Pricing Program discounted prices; prohibiting drug wholesalers and distributors from changing current pricing models and programs by engaging in certain acts; limiting the sales by Medicaid pharmacies of specified drugs at 340 Drug Pricing Program discounted prices to Medicaid recipients; providing an effective date.

AI Summary

This bill creates new regulations for drug pricing within the Medicaid program, focusing on the 340B Drug Pricing Program (a federal program that allows certain healthcare providers to purchase outpatient drugs at discounted prices). The legislation requires drug manufacturers to sell specified drugs to Medicaid pharmacies at 340B discounted prices, particularly for drugs on the Medicaid preferred drug list. If manufacturers sell these drugs at a price higher than the state's negotiated price, they must pay a rebate to the state. Pharmacy benefits managers must pay Medicaid pharmacies the 340B discounted price plus a professional dispensing fee for eligible drugs. Drug wholesalers and distributors are also mandated to sell drugs at the 340B discounted price and are prohibited from modifying existing pricing models to exclude these drugs. The bill limits the use of 340B discounted drugs to Medicaid recipients only, ensuring the pricing benefits are directed specifically to the Medicaid population. The provisions will take effect on January 1, 2026, giving stakeholders time to prepare for the new pricing requirements.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Died in Health Care Facilities & Systems Subcommittee (on 06/16/2025)

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