Senate Panel Votes to Tighten Rules on Big Pharmacy Firms
- Arkansas passed a first-in-the-nation law targeting pharmacy benefit managers , set to take effect in January 2026, which CVS opposed by threatening to close all 23 Arkansas pharmacies.
- The law aims to prevent PBMs from owning pharmacies and is part of broader efforts responding to concerns that PBMs pay low reimbursement fees and drive small pharmacy closures.
- Supporters, including Governor Sarah Huckabee Sanders, expect the law to enhance consumer drug access, reduce prices, and help local pharmacies remain open despite CVS's opposition and lawsuit filed last week.
- Legislators and advocates emphasized that PBMs often engage in anti-competitive practices and low dispensing fees put pharmacies at risk, while similar reforms are considered or enacted in other states like Louisiana and West Virginia.
- The Arkansas law and related measures could shift market power back to independent pharmacies and may inspire nationwide reforms to improve price transparency and pharmacy viability.
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25 Articles
15 quiet casualties of the 2025 legislative session
(Photo: April Corbin Girnus/Nevada Current)The pharmaceutical middlemen who play a role in inflating consumer drug prices escaped additional regulations by state lawmakers, after the Nevada State Legislature failed to pass a bill designed to curb how much profit they can make. Democratic state Sen. Rochelle Nguyen’s Senate Bill 316 would have established “guardrails” for pharmaceutical benefit managers, such as requiring PBMs to pass along to co…

Pa. pharmacists demand state action to regulate PBMs, curb pharmacy closures
A shuttered independent pharmacy in Harrisburg. (Capital-Star photo by Vincent DiFonzo)Last month, pharmacists from across the state travelled to Harrisburg for an urgent meeting with lawmakers. Their goal was to communicate a simple message — pharmacies are closing at an alarming rate, eliminating one of the few places customers can receive free, unscheduled consultations with medical professionals. They warned they’re being driven out of busi…


Inside the battle over prescription drug prices and pharmacies in the Louisiana Legislature
Independent pharmacies gained the upper hand Wednesday against pharmacy benefit managers following a behind-the-scenes lobbying battle over what has been one of the biggest unsettled policy issues in the final days of the regular legislative session.

Senate panel votes to tighten rules on big pharmacy firms
BATON ROUGE, La. (LSU Manship School News Service) -- A bill aimed at increasing transparency in how pharmacy benefit managers operate advanced out of the Senate Insurance Committee Wednesday, signaling a push to regulate an industry that critics say drives up drug prices and puts local pharmacies at risk. House Bill 264, authored by Rep. Michael Echols, R-Monroe, cleared the committee with amendments that would ban pricing schemes, strengthen o…
Sarah Sanders Won’t Back Down After CVS Threatens To Leave Arkansas
Arkansas Republican Gov. Sarah Huckabee Sanders is not backing down after pharmacy giant CVS has threatened to leave the state over a new state law targeting drug middlemen called pharmacy benefit managers, or PBMs.In an interview with The Daily Wire, Sanders said she would not allow CVS, which owns one of the “Big Three” PBMs called Caremark, to “manipulate and control the market simply so that they keep a few stores in our sta
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