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PBM reform bill amended, advanced through Iowa Senate

  • The Iowa Senate approved Senate File 383 on Monday, April 29, 2025, in Des Moines to regulate pharmacy benefit managers .
  • The bill responds to rising prescription drug costs and pharmacy closures, especially in rural Iowa, by limiting PBM practices that affect pharmacies and consumers.
  • The legislation requires all drug contracts to use pass-through pricing, mandates reimbursement to smaller pharmacies at or above state averages, and bans PBMs from restricting pharmacy choice or forcing mail-order purchases.
  • Senator Mike Klimesh noted that 36 states prohibit PBM restrictions on pharmacist choice, 32 ban mail-order mandates, and 11 set minimum reimbursement standards, adding, "Nothing in this bill is uncharted territory."
  • The bill passed 36-14 with bipartisan support and now awaits action in the Iowa House, potentially shaping pharmacy access and drug cost transparency statewide.
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The Iowa Standard broke the news in on Monday, April 28, 2025.
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