MPA, NCPA Support Michigan PBM Reform Legislation

NCPA March 22, 2021

LANSING, Mich. (March 22, 2021) – The Michigan Pharmacists Association and the National Community Pharmacists Association are urging legislators to support House Bill 4348, introduced by Rep. Julie Calley. This legislation would provide much-needed reforms to pharmacy benefit managers, which are threatening access to community pharmacies and increasing health care costs for patients and plan sponsors in Michigan. The House may be voting on this bill in the coming days.

“This is a David and Goliath situation, and Michigan’s independent pharmacies need your help,” said MPA Executive Board President Heather Christensen while testifying in favor of the legislation recently before the House Health Policy Committee. “Our ask is simple: We just want an even playing field where we can continue to provide patient care to the fullest of our abilities.”

House Bill 4348 would prohibit PBMs from reimbursing pharmacies affiliated with the PBM more than non-affiliate pharmacies; prohibit patient steering to PBM-owned pharmacies; prohibit retroactive clawbacks; require reimbursements be based on the National Average Drug Acquisition Cost, an objective benchmark that accurately reflects the true market costs for Michigan pharmacies; and establish fair audit procedures for community pharmacies.

“As policymakers across the country examine PBM practices and see the harm being done to patients, payers and neighborhood pharmacies, more are taking action to rein in these underregulated middlemen,” said Anne Cassity, NCPA Vice President of Federal and State Government Affairs. “We are proud to support Michigan in these efforts and urge swift enactment and enforcement of PBM reform policies.”

NCPA submitted a letter of support for this important legislation.


Michigan Pharmacists Association strives to serve members by providing support, advocacy and resources that ultimately improve patient care, safety, health and the practice of pharmacy. For more information, visit

Founded in 1898, the National Community Pharmacists Association is the voice for the community pharmacist, representing more than 21,000 pharmacies that employ 250,000 individuals nationwide. Community pharmacies are rooted in the communities where they are located and are among America's most accessible health care providers. To learn more, visit