A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions.

HF 213 limits pharmacy benefits managers (PBMs) in Iowa by requiring that payments made by health plan members for prescriptions count toward their deductible. It prohibits PBMs from charging different fees based on which pharmacy a member uses or blocking members from filling prescriptions at any in-state pharmacy that accepts their plan’s terms. The bill also bans PBMs from forcing members to use mail-order pharmacies exclusively for prescription drugs. These changes directly affect PBMs, pharmacies, and health plan members in Iowa, applying to PBMs managing prescription drug benefits in the state after the bill’s effective date.