Reps. Celeste Maloy (R-UT), Raja Krishnamoorthi (D-IL), and Diana Harshbarger (R-TN) introduced the Pharmacy Audit and Compensation Transparency (PhACT) Act directing the Secretary of Health and Human Services to thoroughly investigate how Pharmacy Benefit Managers audit pharmacists and make recommendations for more transparency and fairness.
“Independent pharmacies are essential to Main Streets in Utah and across the country. But many have been forced to close their doors thanks to unfair PBM audits that lack clear metrics,” said Rep. Maloy. “My bill will increase transparency and help us find policy solutions, so pharmacists don’t have to worry about being able to provide for their patients or make a living.”
"Pharmacy Benefit Managers (PBMs) have been taking advantage of independent pharmacies for years through opaque business practices, including their unfair audits of independent pharmacies," said Rep. Krishnamoorthi. "This behavior has forced the closure of thousands of community pharmacies and denied necessary prescription drug coverage to millions of Americans. I am proud to join Congresswoman Maloy in shedding light on PBM audit practices to ultimately benefit independent pharmacists in Illinois and across the country."
“As a pharmacist, I know firsthand how PBMs often use aggressive audit practices as a weapon to harass independent small pharmacies and claw back reimbursements for their own financial gain,” said Rep. Harshbarger. “I also hear from constituents about how PBMs use trivial findings from endless audits to justify kicking a patient's preferred local pharmacy from their insurance coverage. For community pharmacists, it’s like playing a high-stakes game without knowing the rules—or worse, with no rules at all! That’s why I’m proud to help introduce the Pharmacy Audit and Compensation Transparency Act, which will require a comprehensive study of PBM audit practices and recommend fair, transparent, and accountable guidelines.”
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