Pharmacists Fight Back Act

[Congressional Bills 118th Congress] [From the U.S. Government Publishing Office] [H.R. 9096 Introduced in House (IH)] <DOC> 118th CONGRESS 2d Session H. R. 9096 To establish pharmacy payment and reimbursement by pharmacy benefits managers; to amend title XIX of the Social Security Act to improve prescription drug transparency; and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES July 23, 2024 Mr. Auchincloss (for himself and Mrs. Harshbarger) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Oversight and Accountability, and Armed Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To establish pharmacy payment and reimbursement by pharmacy benefits managers; to amend title XIX of the Social Security Act to improve prescription drug transparency; and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Pharmacists Fight Back Act''. SEC. 2. PHARMACY PAYMENT AND REIMBURSEMENT. (a) In General.--A pharmacy benefits manager (hereinafter referred to as a ``PBM'') administering prescription drug benefits on behalf of a Federal health care program, either directly or through an affiliate of such PBM, shall, on behalf of such program-- (1) reimburse an in-network pharmacy for the ingredient cost of a prescription drug in an amount equal to the sum of-- (A) the national average drug acquisition cost for the drug on the day of claim adjudication (or, in the case of a drug that does not appear on the national average drug acquisition cost index, the wholesale acquisition cost fo