# 119-hr-6580: VA National Formulary Act of 2025

119-hr-6580, VA National Formulary Act of 2025, is a 119th Congress bill sponsored by Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA); status in_committee; PRIA reads it as touching household money (as of 2026-07-29).

- Canonical: https://policyrisk.com/legislation/119-hr-6580
- As of: 2026-07-29
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6580
- Congress: 119
- Title: VA National Formulary Act of 2025
- Status: in_committee
- Introduced: 2025-12-10
- Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA)
- Cosponsors: 0
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-07-29

## Summary

**Creates a single VA national drug formulary** to standardize which prescription drugs and supplies are available across all VA medical facilities and centralize management under the VA Pharmacy Benefits Management Service. It also sets rules for nonformulary access, public explanations of major changes, and new governance and purchasing tools. - Veterans and families: Establishes a tiered 30-day copayment schedule with lower copays for generics and formulary drugs than for brand or nonformulary drugs. Nonformulary access is preserved through a formal electronic request and waiver system with portable approvals across VA facilities. - Clinicians and care delivery: Creates a Pharmacy and Therapeutics Committee that meets monthly to bi-monthly and bases decisions on clinical evidence and pharmacoeconomics. Clinician nonformulary requests must get an initial decision within 96 hours and a final national-level decision on denied requests within 7 days. - VA operations and industry: Authorizes supplemental discounts and value-based purchasing tied to outcomes and cost savings, requires periodic outcome and cost-effectiveness reviews, and mandates reports to the House and Senate Veterans’ Affairs Committees within 180 days of reviews. A Veterans Formulary Advisory Committee of up to 10 members will meet at least semiannually and terminate after two years.

## Provisions PRIA read

- Faster requests for nonformulary drugs: benefit, medium. If enacted, the VA would require a standard electronic system in the VA health record for clinicians to request drugs not on the national list. The VA must tell clinicians and veterans an initial decision within 96 hours. Denials must include appeal rights, and final national appeal decisions must…
- More pharmacy reviews for high-risk patients: benefit, medium. If enacted, the VA would require medication therapy management focused on polypharmacy and high‑risk drugs. Clinical pharmacy specialists would review complex regimens and offer interventions like provider education and patient outreach. The VA must do regular therapeutic class reviews to keep the…
- New VA drug review committee: benefit, medium. If enacted, the VA would create a Pharmacy and Therapeutics Committee to guide national formulary choices. Members would be VA clinicians, pharmacists, and pharmacoeconomists who must disclose financial interests and be barred from decisions if they have conflicts. The committee would use clinical…
- One national VA drug list: benefit, medium. If enacted, the VA would create one national list of prescription drugs and medical supplies for all VA hospitals and clinics. The VA's Pharmacy Benefits Management Service would run the list and could negotiate extra discounts, rebates, and preferred‑status deals with drug makers. The VA could use…
- More transparency for VA drug choices: benefit, low. If enacted, the VA would set up a small Veterans Formulary Advisory Committee to collect frontline clinician and veteran input. The VA would publish summaries explaining major formulary additions or removals and, when feasible, hold briefings for stakeholders. The VA must also send an annual appeal…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-4317: PBM Reform Act of 2025
- 119-hr-4895: Afghan Adjustment Act
- 119-hr-1656: PLUS for Veterans Act of 2025

## Sources
- [119-hr-6580 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6580)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-4317: PBM Reform Act of 2025](https://policyrisk.com/legislation/119-hr-4317)
- [119-hr-4895: Afghan Adjustment Act](https://policyrisk.com/legislation/119-hr-4895)
- [119-hr-1656: PLUS for Veterans Act of 2025](https://policyrisk.com/legislation/119-hr-1656)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6580 (as of 2026-07-29).