NO PBMs Act

S 2436, the NO PBMs Act, requires Medicare Part D drug plans and pharmacy benefit managers (PBMs) to allow any pharmacy meeting standard terms to join their networks. This directly affects Medicare beneficiaries by expanding their access to local pharmacies and independent pharmacies that might otherwise be excluded. The bill mandates that contract terms offered by plans or PBMs must be "reasonable and relevant," and directs the Secretary to establish these standards by January 1, 2026. It does not change existing drug pricing or coverage but aims to increase pharmacy choice for Medicare enrollees.