Nebraska Code § 44-4617

Spread pricing; prohibited, when.
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(1) A contract between a pharmacy benefit manager and a health benefit plan that is issued on or after January 1, 2026, shall not contain spread pricing unless such contract is an extension of a contract entered into prior to January 1, 2026, which included spread pricing.
(2) Beginning January 1, 2029, no contract between a pharmacy benefit manager and a health benefit plan shall include spread pricing.

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