Rx access act
Rx Access Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
This bill, the Rx ACCESS Act, aims to improve access to prescription medications for military personnel and their families through the TRICARE program. It allows beneficiaries to elect to receive non-generic maintenance medications through various means, starting in 2026, and establishes standards for pharmacy benefit manager reimbursement to ensure fair pricing for pharmacies. The bill also mandates independent audits of the TRICARE pharmacy benefits program to assess access and network adequacy.
Key provisions
- Allows beneficiaries to elect non-generic maintenance medications.
- Establishes reimbursement standards for pharmacy benefit managers that tie payments to the cost of acquisition or the national average drug acquisition cost.
- Prohibits pharmacy benefit managers from imposing fees on retail pharmacies.
- Requires annual audits of the TRICARE pharmacy benefits program by the Comptroller General.
- Mandates a report to Congress detailing the implementation of the bill's provisions.
Who is affected
- Military personnel
- Veterans
- TRICARE beneficiaries
- Pharmacy Benefit Managers
- Retail Pharmacies
Notable changes
- Increases beneficiary choice regarding prescription medications.
- Imposes financial accountability on pharmacy benefit managers.
Bill text
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Sponsors
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6 on record
Primary sponsor
Cosponsors
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