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Consolidated Appropriations Act, 2026Section 6224 › Proposal

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. Written by .

Flat dispensing fees and ingredient cost payments are not barred

The document says “may not be construedWho 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”

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, Sec. 6224

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”

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, Sec. 6224
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.

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