prohibiting network exclusion for pharmacies that refuse to dispense a prescription of the PBM reimbursement that is below the pharmacy's acquisition cost.

SB 247 allows community pharmacies to decline filling prescriptions when a pharmacy benefits manager (PBM) offers reimbursement below the pharmacy’s actual drug cost, without facing network exclusion. Pharmacies must inform patients to contact their insurer for alternative pharmacy options. The bill also requires pharmacy administrative organizations (PSAOs) to share PBM contracts and payment details with pharmacies within 3 days and prohibits PSAOs from forcing pharmacies to buy drugs from specific suppliers. This applies to independent pharmacies and takes effect January 1, 2026.