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Saving Pharmacies or Raising Drug Costs? Iowa Gov. Kim Reynolds Signs Law Regulating PBMs

  • On Wednesday, Iowa Governor Kim Reynolds signed Senate File 383 in Des Moines, imposing new restrictions on pharmacy benefit managers .
  • The legislation aims to protect rural pharmacies and constrain prescription drug costs amid rising pharmacy closures and pharmacist advocacy.
  • The law eliminates spread pricing, requires PBMs to reimburse at average state or national drug costs, and mandates appeal rights for pharmacies.
  • More than 200 Iowa pharmacies closed since 2014, and ABI warns the bill could raise health care costs by $340 million annually.
  • Governor Reynolds called the decision difficult but pledged ongoing monitoring to address unintended consequences and noted the reform is not the final step.
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Pharmacies will also join the voluntary price restriction, the Minister of National Economy announced on his social media page.

·Budapest, Hungary
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Center

Pharmacies say new PBM law will stop pharmacies from closing

·Cedar Rapids, United States
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Oskaloosa HeraldOskaloosa Herald
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Lean Left

Reynolds makes ‘difficult decision’ to sign bill on pharmacy benefit managers

Calling it a “difficult decision,” Gov. Kim Reynolds signed legislation Wednesday that’s intended to help keep rural pharmacies in business but could also lead to higher drug costs for Iowans.

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  • 67% of the sources are Center
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Managed Healthcare Executive broke the news in on Tuesday, June 10, 2025.
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