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flag A third lawsuit challenges Iowa’s pharmacy law, citing federal preemption and constitutional concerns over cost-sharing rules and reimbursements.

flag A third lawsuit has been filed challenging Iowa’s Senate File 383, a law regulating pharmacy benefit managers, with OptumRx and insurers claiming it violates federal law and the First Amendment by restricting cost-sharing practices and mandating higher reimbursements for independent pharmacies. flag The law, which requires PBMs to use national average acquisition costs and sets a $10.68 dispensing fee, faces legal challenges over federal preemption, particularly under ERISA, and due process concerns. flag Two prior lawsuits led to temporary injunctions blocking enforcement, and the insurance commissioner’s mixed enforcement actions prompted this new case. flag Plaintiffs seek to halt the law’s implementation, warning of significant cost increases for consumers and insurers, while supporters argue it helps control drug prices and supports small pharmacies. flag The case remains pending.

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