Prescription Drug Price Transparency Act
Official title: To amend title XVIII of the Social Security Act to provide for pharmacy benefits manager standards under the Medicare prescription drug program and Medicare Ad… Show full official titleShow less
Official title: To amend title XVIII of the Social Security Act to provide for pharmacy benefits manager standards under the Medicare prescription drug program and Medicare Advantage program to further transparency of payment methodologies to pharmacies, and for other purposes.
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Referred to the Subcommittee on Health.
Prescription Drug Price Transparency Act
This bill establishes additional requirements for prescription drug plan sponsors (PDPs) under Medicare and Medicare Advantage, as well as health insurance carriers under the Federal Employees Health Benefits Program, relating to the methodology of payments to pharmacies and the use of pharmacy benefits managers (PBMs).
Specifically, such PDPs and carriers must disclose specified information to pharmacies regarding applicable standards for reimbursement that are based on drug costs, including the sources used to update such standards. Additionally, such PDPs and carriers may not contract with PBMs that require, or that provide an incentive for, plan enrollees to use pharmacies that have a shared ownership interest with the PBM.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 1035: Prescription Drug Price Transparency Act. 116th Congress. Open America. https://openamerica.io/bill/116-HR-1035/
"H.R. 1035: Prescription Drug Price Transparency Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-1035/.
H.R. 1035, 116th Cong. (2026), https://openamerica.io/bill/116-HR-1035/.
[H.R. 1035: Prescription Drug Price Transparency Act](https://openamerica.io/bill/116-HR-1035/)