AR HB1150

Pharmacy benefits managers (PBMs) are prohibited from acquiring or holding retail pharmacy permits in Arkansas, including mail-order pharmacy permits, effective January 1, 2026

The Arkansas State Board of Pharmacy must revoke or not renew permits for entities that violate this prohibition, and must notify affected permit holders at least 90 days before the January 1, 2026 effective date

Limited use permits may be issued for rare, orphan, or limited distribution drugs that would otherwise be unavailable to patients; this assessment provision expires September 1, 2027

Affected pharmacies must notify patients and prescribers who used the pharmacy within the previous 12 months at least 60 days before January 1, 2026, including a list of compliant alternative pharmacies

An exemption exists for pharmacy employers whose affiliated PBM exclusively services only that employer's employees and dependents in Arkansas