Independent community pharmacists have no better or more effective advocate than NCPA on the issues that impact their patients and pharmacies.

Whether it's at Capitol Hill, state legislatures, regulatory agencies, or the courts, NCPA advocates for you on issues ranging from PBM abuses to your ability to practice to the full extent of your training.

Not sure how our advocacy efforts affect your pharmacy practice?

Advocacy Highlights

Recent Advocacy Highlights

Federal Priorities

DIR Fees

An overwhelming majority of independent community pharmacy owners say that retroactive pharmacy direct and indirect remuneration fees undermine patient access to prescription drugs and hinder owners’ ability to manage their businesses. 


Community pharmacies provide cost-saving medication and pharmacy services to millions of Medicare Part B and D patients.  

Regulatory Advocacy

NCPA follows regulatory affairs closely and provides comments whenever possible on behalf of its members.

Inflation Reduction Act: Resources and Advocacy

For pharmacies, reimbursement could be impacted under the new Medicare price negotiation framework, as any difference between the negotiated price and discounted price for a drug would be “trued-up” within prompt pay requirements.

LTC At Home

Ensuring pharmacies providing long term care patients residing at home are reimbursed at a rate which matches the higher level of care afforded to these patients. Appropriate payment for medical at home services is the number one advocacy priority of the NCPA LTC Division.  


Key policies and advocacy


Recently, Express Scripts, the Cigna-owned pharmacy benefit manager that administers the TRICARE benefit on behalf of the Department of Defense, instituted pharmacy network changes that impact 400,000 TRICARE beneficiaries by shrinking the retail network by almost 15,000 pharmacies. To add insult to injury, Cigna/Express Scripts unilaterally decided to terminate the 2022 contracts on October 24, 2022, rather than the end of the year. This will cause major patient disruption.

State Priorities

Resources and Information

Central location of documents, including 1-pagers, model legislative language, recent state legislative wins, and other information to further advance pro-patient and pro-pharmacy advocacy efforts in the states.

Is Your State Enforcing PBM Regulations?

Virtually every single state has passed some form of PBM regulations over the last several years. Although there have been great strides forward with comprehensive state PBM regulations and court victories, this is all irrelevant if the state departments of insurance are not enforcing these laws.

State-Specific Community Pharmacy Impact Fact Sheets

These fact sheets report the economic impact of independent pharmacy by state for the 2019 tax year. In presentations to policymakers, employers, and other groups, you'll find them useful in demonstrating the profound economic benefit of community pharmacy to your state's economy.

Medicaid managed care pharmacy payment reforms

State audits and studies are showing that Medicaid drug costs are increasing, and pharmacy reimbursements are decreasing. Something isn’t adding up. NCPA supports efforts to increase transparency and accountability and to ensure state oversight of Medicaid managed care programs.

Comprehensive PBM regulation

Over time, PBMs have been allowed to operate virtually unchecked. A lack of transparency in PBM practices is increasingly leading states — with NCPA’s support — to implement licensure/registration, fair pharmacy audit, or generic drug pricing legislation to try to level the playing field for pharmacies and patients.

Scope of practice and compensation for patient services

Community pharmacists are both medication experts and America’s most accessible health care providers. NCPA is committed to working with our members and state partners to remove the barriers preventing pharmacists from practicing to the top of their license and being compensated for patient care services.

State Legislative Tracking

Click on the states to learn what community pharmacy-priority bills are active in legislatures throughout the country.

An investment in NCPA's Political Action Committee is political insurance for your independent pharmacy business. For community pharmacy to really make its voice heard in Washington, NCPAPAC needs your support now more than ever.


In our political system, there's strength and influence in numbers. That's why, when community pharmacists nationwide band together – when we pool our votes and our relationships and our checkbooks – we can get stuff done in Washington, D.C.

Legal Defense Fund

Grassroots Toolkit

Legislative Action Center

Act Today
Proposed legislation that directly affects Independent Pharmacies.
truth campaign

Truth Campaign

Now more than ever, Americans need access to essential healthcare providers. That includes access to affordable prescription drugs from pharmacists they know and trust.

Learn More