IllinoisHB4761104th General Assembly (2025–2026)House

PHARMACY BENEFIT REIMBURSE

Sponsored By: Natalie A. Manley (Democratic)

In Committee

Summary

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.

executive

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Natalie A. Manley

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Rule 19(a) / Re-referred to Rules Committee

    3/27/2026House
  2. Assigned to Executive Committee

    3/4/2026House
  3. Referred to Rules Committee

    2/6/2026House
  4. First Reading

    2/6/2026House
  5. Filed with the Clerk by Rep. Natalie A. Manley

    2/2/2026House

Bill Text

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