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Missouri Lawmakers Tackle Drug Prices, Regulate Pharmacy Benefit Managers

12/31/2025

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Story summary
  • Missouri lawmakers introduced bills to regulate pharmacy benefit managers (PBMs) to lower drug prices and support local pharmacies.
  • The measures would require PBMs to disclose information, ban excessive copays, and create an appeals process for pharmacies.
  • Lawsuits by major employers accuse PBMs of inflating drug prices and failing oversight.
  • In North Carolina, Medicaid funding remains unresolved amid a budget dispute, risking provider-rate cuts as Republicans blame the governor.