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

South Carolina: what the PBM reimbursement law requires

South Carolina has active bills that would bar PBMs from paying below 104% of NADAC plus a Medicaid-based dispensing fee, but none is enacted — the bills remain in committee.

Status Pending
Law S 342 / H 4791 (2025–2026)
Effective date Not yet in force
Reimbursement basis No floor in force yet. Pending bills would prohibit reimbursement below 104% of NADAC plus a professional dispensing fee no less than the South Carolina Medicaid dispensing fee, with WAC as a fallback where NADAC is unavailable, and an enhanced fee for low-volume pharmacies.
Professional dispensing fee Would track the South Carolina Medicaid professional dispensing fee (proposed)
Appeal route Proposed enforcement via a complaint process at the Department of Insurance

South Carolina has active PBM-reform legislation but no reimbursement floor in force. S 342 (with companion H 4791) would prohibit a PBM from reimbursing below 104% of NADAC plus a professional dispensing fee no less than the state Medicaid dispensing fee, using WAC where NADAC is unavailable, and would enforce the floor through a complaint process at the Department of Insurance.

As of early 2026 the bills remain in committee — S 342 received a favorable committee report with amendment in March 2026 — and neither has passed both chambers or been signed. The bills’ own effective-date language can be misread as enacted law; legislative status confirms they are pending.

Sources

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