ID S1367

Independent pharmacies must be reimbursed at minimum the National Average Drug Acquisition Cost (NADAC) plus a professional dispensing fee of $12.35, with annual inflation adjustments based on CPI-U effective March 1 each year

Pharmacy benefit managers (PBMs) and third-party payers are prohibited from charging pharmacies fees for claim submission, network enrollment, credentialing, or claims processing, and must use pass-through pricing models that eliminate spread pricing

PBMs must pass 100% of manufacturer rebates to pharmacy benefit plans, apply equal conditions across all network pharmacies including mail-order and affiliated pharmacies, and cannot require patients to use PBM-owned pharmacies

Pharmacies are protected from retaliation for disclosing cost information to patients, participating in class actions, or sharing contract details with regulators, and cannot be excluded from networks solely for being newly opened

The Idaho Department of Insurance gains enforcement authority with 30 days to issue guidance after enactment, and the bill takes effect immediately upon passage as emergency legislation