Bill
HB 2610
Virginia authorizes DMAS to contract a third-party pharmacy benefits manager administrator for Medicaid, potentially reducing drug costs and increasing state control over prescription coverage.
HB 2610 authorizes Virginia's Department of Medical Assistance Services (DMAS) to contract with a third-party administrator to serve as a pharmacy benefits manager (PBM) for state Medicaid programs. This shifts pharmacy benefit management from relying solely on commercial PBMs to potentially using a state-selected administrator that may better align with state interests.
Pharmacy benefits managers control drug pricing, formularies, and reimbursement rates that directly affect medication costs for Medicaid beneficiaries and state budget expenditures. By selecting its own PBM administrator, Virginia can potentially reduce prescription drug costs, improve transparency, and gain more control over how state Medicaid pharmacy benefits are managed—potentially saving millions in healthcare spending.
Compiled from official sources — confirm details with the bill’s official record.
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