HB4761 - 104th General Assembly (2025-2026)

PHARMACY BENEFIT REIMBURSE
Last Action
2/06/2026 - House: Referred to Rules Committee
Statutes Amended In Order of Appearance
215 ILCS 5/513b1  
Synopsis As Introduced
Amends the Illinois Insurance Code. In provisions concerning pharmacy benefit manager contracts, provides that a pharmacy benefit manager must not reimburse a pharmacy or pharmacist for a prescription drug or pharmacy service in an amount less than the national average drug acquisition cost for the prescription drug or pharmacy service at the time the drug is administered or dispensed, plus a professional dispensing fee of $10.49. Provides that, if the national average drug acquisition cost is not available at the time a drug is administered or dispensed, a pharmacy benefit manager may not reimburse in an amount that is less than the wholesale acquisition cost of the drug, plus a professional dispensing fee of $10.49.
Actions
DateChamberAction
2/02/2026HouseFiled with the Clerk by Rep. Natalie A. Manley
2/06/2026HouseFirst Reading
2/06/2026HouseReferred to Rules Committee