Appeals court says Arkansas can enforce dispensing fee rule on PBMs

By: Andrew DeMillo

Outlets: Arkansas Advocate

Published: August 27, 2026

Words: 435

Last Updated: 2 weeks, 5 days ago

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Federal law doesn’t prevent Arkansas from enforcing a rule requiring pharmacy benefit managers to include dispensing fees in their reimbursements to pharmacies for prescription drugs, an appeals court has ruled.

A three-judge panel of the 7th U.S. Circuit Court of Appeals on Wednesday upheld a federal judge’s dismissal of the lawsuit challenging the 2024 rule adopted by Arkansas imposing new requirements on pharmacy benefit managers, also known as PBMs. …

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