Bill > SF3299

This bill establishes fair reimbursement standards for community pharmacies in Minnesota by requiring pharmacy benefit managers (PBMs) and managed care organizations (MCOs) to reimburse pharmacies at a minimum rate that covers the drug's acquisition cost and includes a professional dispensing fee. Specifically, reimbursement must be at least equal to the National Average Drug Acquisition Cost (NADAC) or Wholesale Acquisition Cost (WAC), plus a dispensing fee that will be adjusted every two years to account for inflation, labor costs, and operational expenses. The bill prohibits several practices that could reduce pharmacy reimbursements, including imposing transaction fees, recoupments, or other adjustments that would lower the pharmacy's net reimbursement. The legislation also mandates reimbursement parity, preventing PBMs from paying their own pharmacies at a higher rate than independent community pharmacies for the same drug and patient conditions. An important exception is made for 340B program entities, whose reimbursement will continue to be determined by existing federal and state laws. The overall goal of the bill is to improve patient access to pharmacy services and support the financial sustainability of community pharmacies.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF3299&ssn=0&y=2025