All Comparison Tables
Pharmacy Benefit Manager (PBM) Regulation by State
Federal & State Law Editorial TeamLast reviewed: April 2026
Whether the state regulates pharmacy benefit managers, requires disclosure of pricing/rebates, and bans anti-steering practices.
50 States2 data columnsLast updated: April 2026
Click any column header to sort ascending or descending. Click again to reverse, and a third time to reset.
| State Law | Disclosure | Anti-Steering |
|---|---|---|
| Yes | Yes | Yes |
| Yes | Yes | No |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | No |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | No |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | No |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | No |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
| Yes | Yes | Yes |
Rutledge v. PCMA (2020) confirmed states can regulate PBM reimbursement rates without ERISA preemption. PCMA v. Mulready (2023, 10th Cir.) limited some Oklahoma PBM regulations as preempted by ERISA and Medicare Part D.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.