HB 444 — The amount a pharmacy benefit manager may reimburse a ph
This bill covers the amount a pharmacy benefit manager may reimburse a pharmacist or pharmacy for a prescription drug.
This bill covers the amount a pharmacy benefit manager may reimburse a pharmacist or pharmacy for a prescription drug.
Author: Martinez. Filed: 11/09/2026 (H Filed). Caption: “Relating to the amount a pharmacy benefit manager may reimburse a pharmacist or pharmacy for a prescription drug.”
Subjects: Health Care Providers (I0387), Human Services--Medical Assistance (I0905), Insurance--Health & Accident (I0422). Council document: see the Legislature history page.
Full bill text (Introduced)
Official text from the Texas Legislature. Bill history for HB 444 · Bill text (HTML).
90R4190 SCF-D By: Martinez H.B. No. 444 relating to the amount a pharmacy benefit manager may reimburse a pharmacist or pharmacy for a prescription drug.
SECTION 1. The heading to Section 1369.604, Insurance Code, is amended to read as follows: Sec. 1369.604. REIMBURSEMENT OF [ AFFILIATED AND NONAFFILIATED ] PHARMACISTS AND PHARMACIES.
SECTION 2. Section 1369.604, Insurance Code, is amended by amending Subsection (b) and adding Subsection (c) to read as follows: (b) A pharmacy benefit manager may not pay [ an affiliated pharmacist or pharmacy a reimbursement amount that is more than the amount the pharmacy benefit manager pays ] a nonaffiliated pharmacist or pharmacy an amount that is less than the amount the pharmacy benefit manager pays an affiliated pharmacist or pharmacy for the same pharmacist service. (c) A pharmacy benefit manager may not reimburse a pharmacist or pharmacy at an amount that is less than the national average drug acquisition cost of the drug.
SECTION 3. This Act takes effect September 1, 2027.
Sources: Texas Legislature, Today's Filed Bills in the House (11/09/2026), HB 444; 90th Legislature BillLookup history and Introduced bill text.