Community pharmacy reimbursement fair pricing requirement provision

SF 3299 requires community pharmacies in Minnesota to receive minimum reimbursement for dispensed prescriptions, directly affecting local pharmacies and the entities that reimburse them (pharmacy benefit managers and managed care organizations). The bill mandates reimbursement at or above the National Average Drug Acquisition Cost (NADAC) or Wholesale Acquisition Cost (WAC), plus a professional dispensing fee adjusted every two years based on cost surveys to cover inflation and operational expenses. It prohibits below-cost payments, negative adjustments (like transaction fees), and unequal reimbursement rates between community pharmacies and PBM-owned pharmacies. This applies to all prescriptions except those involving federal 340B program drugs, which follow separate federal/state rules.