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SB968 • 2026

Modifies provisions relating to pharmacy benefits managers

Modifies provisions relating to pharmacy benefits managers

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Fitzwater, Travis; House handler: N/A
Last action
2026-03-12
Official status
Bill Combined w/SCS SBs 984 & 968
Effective date
2026-08-28

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2026-03-12 Missouri House of Representatives and Missouri Senate

    Bill Combined w/SCS SBs 984 & 968

  2. 2026-01-21 Missouri House of Representatives and Missouri Senate

    Hearing Conducted S Families, Seniors and Health Committee

  3. 2026-01-08 S128

    Second Read and Referred S Families, Seniors and Health Committee

  4. 2026-01-07 S47

    S First Read

  5. 2025-12-01 Missouri House of Representatives and Missouri Senate

    Prefiled

Official Summary Text

This Bill has been combined with SCS SBs 984 & 968, please refer to it for current information.

The following summaries of this bill are available:

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Introduced

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SB 968 - Under this act, no pharmacy benefits manager shall prohibit or limit a covered person from selecting a pharmacy or pharmacist of their choice or impose a monetary advantage or penalty that would affect a covered person's choice if a pharmacy or pharmacist has agreed to participate in a covered person's health benefit plan. A pharmacy benefits manager shall not impose upon a pharmacy or pharmacist any course of study, accreditation, certification, or credentialing as a condition of participation that is inconsistent with, more stringent than, or in addition to what is required under state law. Additionally, a pharmacy benefits manager shall not pay or reimburse a pharmacy or pharmacist for an amount less than the most recently published National Average Drug Acquisition Cost (NADAC) for a prescription drug.

This act requires a pharmacy benefits manager to reimburse pharmacies for a drug at an amount that is the greater of the maximum allowable cost (MAC) pricing or the current NADAC pricing. Additionally, no pharmacy benefits manager shall retaliate against a contracted pharmacy for exercising its right to appeal a reimbursement dispute to the pharmacy benefits manager.

A pharmacy benefits manager shall reimburse any pharmacist or pharmacy located in this state for an amount equal to what the pharmacy benefits manager reimburses a pharmacy benefits manager affiliate for dispensing the same prescription drug.

Finally, in addition to the reimbursement amounts determined by the MAC and NADAC, a pharmacy benefits manager shall reimburse a pharmacy or pharmacist a dispensing fee no less than 90% of the MO HealthNet professional dispensing fee in effect on the date of service.
TAYLOR MIDDLETON