MI HB5303

Establishes pharmacy reimbursement methodology for small pharmacies (7 or fewer retail outlets) when national average drug acquisition cost pricing is unavailable, using wholesale acquisition cost or average wholesale price minus 16.7% for brand drugs, plus professional dispensing fees

Sets generic drug reimbursement for small pharmacies at wholesale acquisition cost or average wholesale price minus 30.0%, plus professional dispensing fees, when national average drug acquisition cost is unavailable

Requires pharmacy benefit managers contracting with Medicaid managed care organizations to use transparent pass-through pricing models and disclose administrative fees as a percentage of professional dispensing costs

Prohibits pharmacy benefit managers from creating new pharmacy administration fees or increasing current fees above the inflation rate, except for federally mandated fees

Prevents termination of contracts with small Michigan pharmacies (7 or fewer outlets) solely due to the additional professional dispensing fee authorized under this section