What does Preamble of Rx ACCESS Act do?

This bill, formally titled 'To amend title 10, United States Code, to improve access to certain medications under the TRICARE program, and for other purposes,' aims to modify Title 10 of the United States Code. The bill intends to improve access to certain medications within the TRICARE program.

What does SHORT TITLE. of Rx ACCESS Act do?

This bill is formally titled the Rx Access, Choice, Cost Equity, and Supply Stability Act.

What does IMPROVEMENTS RELATING TO ACCESS, FAIRNESS, AND TRANSPARENCY of Rx ACCESS Act do?

This section amends title 10, United States Code, section 1074g, concerning the TRICARE Pharmacy Benefits Program. It extends a beneficiary's ability to elect prescription refills through various means until October 1, 2026. It establishes standards for pharmacy benefit manager (PBM) reimbursement, requiring reimbursement to retail pharmacies to be at least the sum of the actual cost of the pharmaceutical agent or a proxy amount based on the national average drug acquisition cost, plus a professional dispensing fee. The section prohibits PBMs from imposing fees on retail pharmacies, including point-of-sale and retroactive fees. It mandates annual audits by the Comptroller General of the United States regarding PBM reimbursement rates, price concessions, and the adequacy of the retail pharmacy network, with results submitted to the congressional Armed Services committees. The Secretary of Defense must submit a plan for implementing this section to the congressional defense committees within 90 days of the Act's enactment.

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Rx ACCESS Act

Last updated: 4/13/2026 · Introduced: 3/17/2026

Author: Tom Cotton (R-AR)

TL;DR (AI)

The bill extends TRICARE beneficiaries' ability to elect prescription refills through various means until October 1, 2026.
It establishes minimum reimbursement standards for retail pharmacies within the TRICARE Pharmacy Benefits Program, requiring payment of at least the actual cost of the drug plus a professional dispensing fee.
The bill prohibits pharmacy benefit managers (PBMs) from imposing fees on retail pharmacies and mandates annual audits of PBM practices related to reimbursement rates and network adequacy.

119th Congressin committeeHR. 6400(In Committee)Official page

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Other Sections

Includes provisions on preamble, short title., and 1 more.

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