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A Win for Independent Pharmacies: What Arkansas’s PBM Ownership Ban Really Means

Arkansas state flag with "ACT 624" text overlay, representing the PBM ownership ban Arkansas passed to support independent pharmacies and promote PBM reform.

On January 1, 2026, a new law will take effect in Arkansas that could mark a turning point for independent pharmacy. Act 624, signed by Governor Sarah Huckabee Sanders, prohibits Pharmacy Benefit Managers (PBMs) from owning or operating pharmacies in the state—including mail-order and retail chains.

This PBM ownership ban in Arkansas is a clear signal that lawmakers are stepping in to level the playing field for community pharmacies. While the law won’t take hold until next year, it’s already making waves across the industry. For independent pharmacy owners, this legislation isn’t just news—it’s a sign that long-overdue change is coming. Here’s what you need to know.

What Does Act 624 Actually Do?

In plain terms: PBMs can no longer operate as pharmacy owners in Arkansas. That includes national chains and mail-order companies that are vertically integrated—acting as both drug suppliers and gatekeepers to patient access.

This legislation targets:

  • Drug manufacturers who also act as PBMs

     

  • PBMs who own or operate retail pharmacies, specialty pharmacies, or mail-order services

     

By separating pharmacy ownership from the PBM function, the law aims to reduce conflicts of interest and create a more level playing field for independent pharmacies.

Act 624 enforces a PBM ownership ban in Arkansas that challenges long-standing industry practices, putting patients and local providers first.

Why This Law Matters

For years, independent pharmacies have operated under a system where PBMs both control reimbursement rates and compete directly as pharmacy providers. That’s not just unfair—it’s unsustainable.

Act 624 is designed to:

  • Eliminate anti-competitive behavior

     

  • Prevent vertical integration from influencing drug prices

     

  • Create more transparency in the pharmacy supply chain

     

It’s one of the strongest legislative moves to date in support of pharmacy independence. And it’s no accident that Arkansas is leading the way—in 2020, the state was at the center of the landmark U.S. Supreme Court case Rutledge v. PCMA, which upheld states’ rights to regulate PBMs. That decision helped pave the way for reforms like Act 624.

With a track record of pushing back against opaque PBM practices, Arkansas continues to shape the national conversation on fair pharmacy policy.

What It Means for You, Today

While the law doesn’t take effect until 2026, there are clear implications right now for independent pharmacies:

1. A Shift in Market Dynamics

PBMs with ownership ties to mail-order or retail chains will no longer be able to operate both ends of the equation. That opens the door for independents to compete on a more level playing field, especially in markets where large PBM-owned pharmacies dominate.

2. More Attention on Transparency

Expect increasing scrutiny on PBM contracts, rebate structures, and reimbursement practices. Now is the time to assess your current partnerships and ensure they align with your values—and your bottom line.

3. An Opportunity to Lead

Independent pharmacies that stay informed and proactive about these changes can use them as a differentiator. Patients value local care and transparency—and this law amplifies your ability to deliver both.

For independent pharmacies in Arkansas, this PBM ownership ban represents a rare opportunity to compete on more equitable terms—and gain renewed confidence in your position in the healthcare landscape.

What Could Happen Next

While Act 624 is currently limited to Arkansas, it sends a clear message: PBM reform is gaining traction. Other states may follow suit, and pharmacy leaders should prepare for broader regulatory shifts.

This also reinforces the importance of working with GPOs and partners that operate with true independence and no hidden ownership ties. At PharmaTrust, we’ve built our model on exactly that principle.

How PharmaTrust Supports You

PharmaTrust was built to put pharmacy owners back in control—not to profit off complexity or conflicts of interest. Our mission aligns with the spirit of Act 624 and the PBM ownership ban in Arkansas.

Here’s how we help:

  • Transparent pricing with no long-term commitments

     

  • No PBM ties or rebate games

     

  • Real support from people who understand pharmacy

     

As legislation continues to evolve, we’ll be here to help you stay protected, competitive, and informed.

Let’s Talk About the Future

If you’re ready to evaluate your current sourcing, GPO relationships, or contract strategy, we’re here to walk you through it.

Reach out today to see how we’re helping independent pharmacies navigate change—and come out stronger on the other side.

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