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Supreme Court upholds state pharmacy benefit manager regulations
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The Supreme Court on Wednesday upheld Arkansas regulations forcing pharmacy benefit managers to pay pharmacies at least their cost of acquiring a drug.
The court unanimously sided with state regulators, which were supported by the Trump administration, in Rutledge v. Pharmaceutical Care Management Association. The conflict in the case was over an Arkansas law that requires PBMs to pay pharmacies at least the price stated by the pharmacy s wholesaler and regularly update their Maximum Allowable Cost price lists. The law also outlines a process for pharmacies to appeal particular MACs.
The Supreme Court s decision overturns a ruling by the 8th U.S. Circuit Court of Appeals that found the Arkansas law was pre-empted by the Employee Retirement Income Security Act.
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