What your state's PBM laws actually mean for community pharmacies.
Pharmacists for Fair Reimbursement is an independent reference for community pharmacies. We track — in plain language, with the statute cited — what each state's PBM and pharmacy-reimbursement laws require, and when they take effect.
Why this exists
Independent pharmacies are often reimbursed by pharmacy benefit managers (PBMs) at rates below the cost of the medicine they dispense. In response, a growing number of states have passed laws setting a reimbursement floor — typically tied to the national average acquisition cost (NADAC) plus a professional dispensing fee — and giving pharmacies a right to appeal underpayments.
The trouble is that these rules are scattered across dozens of statutes, take effect on different dates, and change every legislative session. A pharmacy owner cannot easily learn what their own state requires today. This site puts that answer in one place, state by state, with the primary source cited for every entry.
The State Tracker
What does your state require?
A plain-language, source-cited entry for each state — the reimbursement basis, the effective date, and the appeal route.
- Arkansas — Enacted
- Colorado — Partially enacted
- Indiana — Enacted
- Iowa — Enacted
- Kansas — Partially enacted
- Kentucky — Enacted
- Louisiana — Enacted
- Maine — Enacted
- Maryland — Partially enacted
- Minnesota — Partially enacted
- Mississippi — Enacted
- Montana — Enacted
- New Mexico — Partially enacted
- New York — Pending
- North Dakota — Partially enacted
- Oklahoma — Partially enacted
- Tennessee — Enacted
- Texas — Partially enacted
- West Virginia — Enacted
Explainers
Plain, sourced answers to the questions behind reimbursement — written to inform, with every claim attributed.