South Dakota requires MAC transparency and bars a PBM from paying an in-state pharmacy less than it pays its own affiliate for the same drug — but it sets no reimbursement floor tied to drug cost.
| Status | Partially enacted |
|---|---|
| Law | SDCL §§ 58-29E-16 to 58-29E-19 (HB 1135, 2023) |
| Effective date | 2023 |
| Reimbursement basis | No reimbursement floor tied to drug cost. A PBM may not reimburse an in-state pharmacy less than it reimburses a PBM affiliate for dispensing the same drug, calculated per unit (anti-self-dealing parity). PBMs must keep MAC lists transparent (with updates on price increases) and may not charge pharmacies certain fees. |
| Professional dispensing fee | Not specified in statute (the law bars PBMs from charging pharmacies a dispensing fee) |
South Dakota’s PBM law (SDCL ch. 58-29E, from HB 1135 of 2023) protects pharmacies through anti-self-dealing parity rather than a reimbursement floor. A PBM may not pay an in-state pharmacy less than it pays its own affiliate for dispensing the same drug on a per-unit basis.
The chapter also requires MAC-list transparency and prompt updates and bars PBMs from charging pharmacies certain fees, but it does not tie reimbursement to NADAC or acquisition cost.