Pharmacists for Fair Reimbursement What your state's PBM laws actually mean for community pharmacies
State Tracker Updated June 15, 2026

Connecticut: what the PBM reimbursement law requires

Connecticut does not mandate a reimbursement floor. Effective January 1, 2026, its 2025 law only requires PBMs to offer health plans a pass-through (same-price) pricing option, alongside transparency and rebate reporting.

Status Partially enacted
Law Public Act 25-167 (HB 7192, 2025)
Effective date Pass-through option effective January 1, 2026
Reimbursement basis No reimbursement floor. On and after January 1, 2026, a PBM must offer a health plan the option of being charged the same price the PBM pays a pharmacy for a prescription drug — a pass-through option, not a mandate to pay pharmacies at NADAC or above acquisition cost. MAC protections sit in Connecticut's existing PBM statutes.
Professional dispensing fee Not specified in statute
Appeal route Under Connecticut's existing PBM framework (Title 38a, ch. 700c)

Connecticut’s 2025 reform (Public Act 25-167) does not create a reimbursement floor. Its operative new provision, effective January 1, 2026, requires a PBM to offer a health plan the option of being charged the same price the PBM pays the pharmacy — a pass-through pricing option for the plan, not a guaranteed minimum payment to pharmacies.

Some secondary summaries describe a NADAC-plus-dispensing-fee floor for rural independent pharmacies; that language does not appear in the enacted Public Act and should not be treated as Connecticut law. The act’s reimbursement-related protections are pass-through, transparency, and rebate reporting.

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