Flat dispensing fees and ingredient cost payments are not barred
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6224, Sec. 6224.
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Flat dispensing fees and ingredient cost payments are not barred
The document says “may not be construed”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 6224 in the PDF
What the document says
“prohibiting flat dispensing fees or reimbursement or payment for ingredient costs (including customary, industry-standard discounts directly related to drug acquisition that are retained by pharmacies or wholesalers) to entities that acquire or dispense prescription drugs; or”
The new subsection states that nothing in it bars flat dispensing fees or payment for ingredient costs, including customary industry-standard discounts related to drug acquisition kept by pharmacies or wholesalers, and that nothing in it changes regulatory or subregulatory requirements on pharmacy payment, reimbursement or dispensing fees.
What the document actually says
“prohibiting flat dispensing fees or reimbursement or payment for ingredient costs (including customary, industry-standard discounts directly related to drug acquisition that are retained by pharmacies or wholesalers) to entities that acquire or dispense prescription drugs; or”
That sentence, in plain words
Nothing here bars a flat fee for filling a prescription. Nothing here bars paying a pharmacy back for what a drug cost it.
What this is about
The rules above are aimed at the middleman. A pharmacy still has to be paid for its work and its stock. This says so plainly.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6224, 140 Stat. 670 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“Flat dispensing fees and ingredient cost payments are not barred,” Consolidated Appropriations Act, 2026, section 6224, Sec. 6224. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6224-rule-of-construction/ (retrieved October 10, 2026).
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