Pharmacists for Fair Reimbursement What your state's PBM laws actually mean for community pharmacies

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.

Find your state

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.

Explainers

Plain, sourced answers to the questions behind reimbursement — written to inform, with every claim attributed.

All explainers