A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs.

This bill restricts pharmacy benefits managers (PBMs) from requiring patients to use mail-order pharmacies exclusively (except for specialty drugs). It mandates that PBMs pass all prescription drug rebates directly to insurers or employers to lower premiums, and requires PBMs to pay pharmacies a $3 dispensing fee for small stores (5 or fewer locations) or pharmacies in rural "pharmacy deserts" (areas more than 30 miles from the nearest pharmacy). The bill also bans "spread pricing" in new contracts (effective 2026), where PBMs charge insurers more than they pay pharmacies for the same drug. These provisions directly affect PBMs, pharmacies, insurers, and patients seeking prescription drugs.