SB 968 - Under this act, no pharmacy benefits manager shall prohibit or limit a covered person from selecting a pharmacy or pharmacist of their choice or impose a monetary advantage or penalty that would affect a covered person's choice if a pharmacy or pharmacist has agreed to participate in a covered person's health benefit plan. A pharmacy benefits manager shall not impose upon a pharmacy or pharmacist any course of study, accreditation, certification, or credentialing as a condition of participation that is inconsistent with, more stringent than, or in addition to what is required under state law. Additionally, a pharmacy benefits manager shall not pay or reimburse a pharmacy or pharmacist for an amount less than the most recently published National Average Drug Acquisition Cost (NADAC) for a prescription drug. This act requires a pharmacy benefits manager to reimburse pharmacies for a drug at an amount that is the greater of the maximum allowable cost (MAC) pricing or the current NADAC pricing. Additionally, no pharmacy benefits manager shall retaliate against a contracted pharmacy for exercising its right to appeal a reimbursement dispute to the pharmacy benefits manager.
A pharmacy benefits manager shall reimburse any pharmacist or pharmacy located in this state for an amount equal to what the pharmacy benefits manager reimburses a pharmacy benefits manager affiliate for dispensing the same prescription drug.
Finally, in addition to the reimbursement amounts determined by the MAC and NADAC, a pharmacy benefits manager shall reimburse a pharmacy or pharmacist a dispensing fee no less than 90% of the MO HealthNet professional dispensing fee in effect on the date of service.
TAYLOR MIDDLETON
Statutes affected: Introduced (5510S.01):
338.015,
376.388
Senate Committee Minutes: SENATE COMMITTEE MINUTES Bill No.: SB 968
Sponsor: Fitzwater
Hearing Date: 1/21/2026
COMMITTEE: Families, Seniors and Health
CHAIRMAN: Carter
DATE REFERRED: 1/8/2026 DATE HEARING REQUESTED:
STAFF:
Sarah Haskins
Heidi Osner
Dennis Rhodes
Blake Thompson
WITNESSES GIVING INFORMATION:
WITNESSES FOR:
Jacob Scott - MSMA, MAOPS,
Larry McIntosh - Pharmax Pharmacy
Tim Mitchell
Abe Funk
Laura Kingsley - Missouri Pharmacy Association
Anthony DeSha - MPA, MOPBC, PBM Reform
Jorgen Schlemeier - MO Pharmacy Business Council
Henrio Thelemaque - MO Pharmacy Assoc.
Tyler Woods - MO Pharmacy Assoc.
Arnie Dienoff
WITNESSES AGAINST:
Phil Christofanelli - Pharmaceutical Care Management Assoc.
Mark Dalton - Mid America Corporates Regional Council
Hampton Williams - Missouri Insurance Coalition
Jared Hutchinson - MO Chamber of Commerce
Shannon Cooper - America's Health Insurance Plans