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States seek to lower drug prices by targeting the companies that manage them for health plans

At least 12 states passed laws this year to limit PBM compensation, require more disclosure and set new dispensing fees for pharmacists.

  • Lawmakers in at least 26 states introduced more than 120 bills this year to restrict pharmacy benefit managers, the large companies that handle most U.S. prescriptions.
  • About 6 in 10 U.S. adults worry about affording prescriptions, while independent pharmacist Lisa Gales lost money on 86% of prescriptions filled last year due to low reimbursements.
  • CVS Health Corp. filed a federal lawsuit challenging a Tennessee law barring it from operating 136 retail pharmacies, alleging the measure constitutes "naked protectionism" from state Sen. Bobby Harshbarger.
  • New legislation in Kansas and Louisiana mandates minimum dispensing fees per prescription, while other states now require pharmacy benefit managers to pass along all negotiated drug rebates.
  • Congress passed new federal regulations in February, yet debate continues over whether state Rep. Robert Stevens and others believe cracking down on PBMs "needs to be done by Congress" instead.
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States seek to lower drug prices by targeting the companies that manage them for health plans

Legislators across the U.S. are trying to lower prescription costs by reining in big companies that handle drug coverage for health insurers.

·New York, United States
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The Hamilton Spectator broke the news in Hamilton, Canada on Saturday, June 27, 2026.
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