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Rural Health
News by Topic: Pharmacy and prescription drugs

Oct 20, 2026 - Notice of a proposed rule that would implement the following sections of the Consolidated Appropriations Act, 2026: 1) section 6219, "Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals;" 2) section 6220, "Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act;" and 3) section 6224, "Modernizing and Ensuring Pharmacy Benefit Manager Accountability." The implementation of Section 6219 would reduce the generic drug copayment from $1 to $0 for full-benefit dual eligible individuals at or below 100% of the Federal Poverty Level, effective for plan years starting January 1, 2028. The implementation of Section 6220, the REAL Health Providers Act, would establish new provider directory accuracy and accountability requirements for Medicare Advantage (MA) organizations beginning in contract year 2028. In addition, CMS has several proposals to implement section 6224, which established requirements related to pharmacy benefit managers (PBMs) and their affiliates specific to the Medicare Part D program. Comments are due by December 15, 2026.
Source: Federal Register
Oct 2, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) implementing the Global Benchmark for Efficient Drug Pricing Model (GLOBE Model), a new Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model would test whether a payment model that uses an alternative method for calculating Part B inflation rebate amounts for certain separately payable Part B drugs and biological products reduces costs for Original Medicare fee-for-service (FFS) beneficiaries and the Medicare program while preserving quality of care. This rule also summarizes and responds to comments received on the December 23, 2025, proposed rule, including the potential impact of this model on small rural hospitals. These regulations are effective November 30, 2026.
Source: Federal Register
Sep 30, 2026 - Offers an interview with an Appalachian pharmacy educator discussing access to pharmacies for rural communities. Discusses policy, rural culture, barriers in healthcare access, trust, and rural innovation.
Source: Drug Topics
Sep 24, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking public input regarding the establishment of standards for reasonable and relevant pharmacy contract terms and conditions under the Medicare prescription drug benefit as outlined by Section 6223(a) of the Consolidated Appropriations Act, 2026 (P.L. 119-75). Specifically, CMS seeks comments on pharmacy reimbursement and dispensing fees, current contract practices, trends in contract terms and conditions, and pharmacy quality and performance measures, among other things. Comments are due by November 23, 2026.
Source: Federal Register
Sep 21, 2026 - Describes disparities in buprenorphine treatment availability in rural areas despite new data showing a national increase in the medication in pharmacies and emergency departments. Discusses challenges that continue to exist in rural Pennsylvania and highlights telehealth as a tool that could support improved access to the medication.
Source: WHYY
Sep 1, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Survey of Retail Prices; 2) Basic Health Program (BHP) Supporting Regulations; and 3) Solicitation for Applications for Medicare Prescription Drug Plan 2028 Contracts. Comments are due by November 2, 2026.
Source: Federal Register
Aug 27, 2026 - Highlights Rural Health Transformation Program (RHTP) funding in Ohio to connect pharmacies, Federally Qualified Health Centers, health systems, and other partners across the state through a health information exchange. The goal is to build a rural pharmacy network, expand clinical services in pharmacies, and conduct a pharmacy needs assessment across the state.
Source: Ohio Pharmacists Association