
PBM Reform Is Finally Law: What the 2026 Appropriations Act Means for Independent Pharmacy Reimbursement
Congress tucked sweeping PBM reforms into the Consolidated Appropriations Act of 2026 — banning spread pricing and rebate retention from 2028, mandating semiannual transparency reports, and creating any-willing-pharmacy and essential retail pharmacy protections from 2029. Here is what changes, when, and how to rebuild your books.







