North Carolina

North Carolina Weekly Update 11.10.25

In Review: Last Friday, PCMA submitted comments to the North Carolina Department of Insurance on their draft temporary rules implementing parts of SB 479. This round of comments precedes the Department starting the formal rulemaking process for the temporary rules.

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North Carolina Weekly Update 11.3.25

In Review: Last week, the North Carolina Department of Insurance shared its draft temporary rules with stakeholders, soliciting feedback by November 7. The draft temporary rules stem from SB 479, passed earlier this year, and include provisions on acquisition cost

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North Carolina Weekly Update 8.11.25

In Review: Last week, PCMA and other stakeholders participated in a call with the Department of Insurance (DOI) to discuss the parts of SB 479 that are effective immediately or by October 1, which include the acquisition cost reimbursement mandate

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North Carolina Weekly Update 6.30.25

In Review: Last week, the conferees from the Senate and House agreed upon a final conference report for SB 479. Of note, the final product includes: reimbursement at acquisition cost for independent pharmacies (10 or fewer locations) and those located

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North Carolina Weekly Update 6.23.25

In Review: Last week, the House Health Committee took up SB 479 (decline to fill, point-of-sale rebates, fiduciary, affiliate pharmacy parity, transparency) and approved a proposed committee substitute. The Proposed Committee Substitute (PCS) removed the Senate’s language around pharmacy desert,

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North Carolina Weekly Update 5.12.25

In Review: Last week, SB 479 was amended on the Senate floor and subsequently unanimously passed out of the chamber 45-0. The amendment did not address many of the industry concerns, including the fiduciary mandate, point-of-sale rebates, and affiliate parity language,

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North Carolina Weekly Update 5.5.25

In Review: Last week, SB 479 (decline to fill, fiduciary, point-of-sale rebates, PSAO regulation) was amended and passed out of the Senate Finance and Rules Committee and will likely be voted on by the full Senate early this week. The

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North Carolina Weekly Update 4.28.25

Up Next: The legislature will return to work after a week-long break. HB 163 (NADAC + DF, spread pricing, point-of-sale rebates, audit) will be voted on by the full House on Tuesday. Additionally, SB 479 (decline to fill, point-of-sale rebates,

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North Carolina Weekly Update 4.21.25

In Review: Last week, SB 479 (decline to fill, fiduciary, point-of-sale rebates, affiliate parity) was passed out of the Senate Commerce and Insurance Committee after adopting a Proposed Committee Substitute (PCS) with minimal changes to industry priorities. The bill will head

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North Carolina Weekly Update 4.14.25

In Review: Last week, SB 479 was amended and passed out of the Senate Health Committee. The amendment included changes that, in part, address some of the items PCMA and members have provided Senator Benton Sawrey (R); however, several priority issues, like

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