Right now, insurance companies that manage prescription drug benefits for Medicare can be pretty selective about which pharmacies they work with. This bill would change that by requiring them to let any pharmacy join their network as long as that pharmacy meets reasonable, fair standards. Think of it like this: if a local pharmacy meets the same requirements as a big chain pharmacy, the insurance company would have to include it in their network rather than locking patients into only using certain pharmacies. The bill also requires the government to set clear rules about what counts as "reasonable" terms, so insurance companies can't make it impossible for smaller or independent pharmacies to participate. The main effect is that Medicare patients would have more choices about where they fill their prescriptions instead of being limited to a narrow list of pharmacies that their insurance company has chosen.

NO PBMs Act

Manchin, Joe, III

Neighborhood Options for Patients Buying Medicines Act or the NO PBMs ActThis bill specifies that prescription drug plan sponsors and pharmacy benefit managers under the Medicare prescription drug benefit&nbsp;must permit any pharmacy that meets the plan's contractual terms for network participation to participate in that network and that such terms must be reasonable. The Centers for Medicare &amp; Medicaid Services must set standards for reasonable terms.