NH SB665

Pharmacies must determine and charge consumers the lowest available price for prescription drugs at the point of sale, comparing the pharmacy retail price, insurance cost-sharing amount, and any available discounts or coupons.

Pharmacists are required to inform consumers of the lowest available price before completing the transaction, and insurers or pharmacy benefit managers cannot penalize pharmacists for disclosing or charging this price.

Violations constitute unprofessional conduct and may result in disciplinary action by the Board of Pharmacy, with civil penalties up to $1,000 per violation.

Consumers may elect to use insurance even if a lower cash or discount price exists, but the pharmacy must document this choice.

The act takes effect January 1, 2027, with fiscal impact estimated at less than $10,000 annually through 2029.