1 bill · 2026 Regular Session
Amends and adds to existing law to establish provisions regarding dispensing fees and to establish duties and restrictions pertaining to pharmacy benefit managers and third-party payers.
This legislation amends Section 41-349, Idaho Code, relating to Pharmacy Benefit Managers (PBMs). The bill establishes a minimum professional dispensing fee of $12.35 per prescription to be paid by PBMs to pharmacies. The legislation also provides a methodology for determining future dispensing fees and directs the Idaho Department of Insurance to oversee implementation. Additionally, the legislation specifies that reimbursement to pharmacies for prescription drugs shall be based on the National Average Drug Acquisition Cost (NADAC).