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Billing News · Friday, June 19, 2026

PCMA sues to block Illinois Prescription Drug Affordability Act

The Pharmaceutical Care Management Association (PCMA) has filed a lawsuit seeking to exempt pharmacy benefit managers from Illinois's Prescription Drug Affordability Act. The law establishes a state board with authority to set upper payment limits for certain high-cost drugs. PCMA argues the law is preempted by federal ERISA statute and Medicare Part D. The outcome of this case will influence whether similar state-level drug price control efforts can directly regulate PBM operations and payments. If the law is upheld, it could set a precedent for other states, potentially shifting drug cost and formulary dynamics for commercial plans in those markets. Track the case in the U.S. District Court for the Northern District of Illinois.

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