Iowa Code § 510B.4 - Standards of conduct — good faith — conflict of interest

A pharmacy benefits manager must act in good faith, disclose conflicts of interest in writing to a health carrier, act in each payor’s best interest, and avoid discrimination against pharmacies or pharmacists when the listed conditions are met.

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Jurisdiction: United States — Iowa
Instrument: Code
Version: Undated source snapshot
Language: en
Updated: 1 Jan 2026
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anti-discrimination conflict of interest pharmacy benefits management

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Provisions of Iowa Code § 510B.4 - Standards of conduct — good faith — conflict of interest

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Iowa Code § 510B.4 - Standards of conduct — good faith — conflict of interest
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AI-assisted research summary: A pharmacy benefits manager must act in good faith, disclose conflicts of interest in writing to a health carrier, act in each payor’s best interest, and avoid discrimination against pharmacies or pharmacists when the listed conditions are met.

1. A pharmacy benefits manager shall exercise good faith and fair dealing in the performance of the pharmacy benefits manager’s contractual obligations toward a third-party payor or a pharmacy. 2. A pharmacy benefits manager shall notify a health carrier in writing of any activity, policy, practice ownership interest, or affiliation of the pharmacy benefits manager that presents any conflict of interest. 3. A pharmacy benefits manager shall act in the best interest of each third-party payor for whom the pharmacy benefits manager manages a prescription drug benefit provided by the third-party payor, and shall discharge its duties in accordance with applicable state and federal law. 4. A pharmacy benefits manager, health carrier, health benefit plan, or third-party payor shall not discriminate against a pharmacy or a pharmacist with respect to participation, referral, reimbursement of a covered service, or indemnification if a pharmacist is acting within the scope of the pharmacist’s license, as permitted under state law, and the pharmacy is operating in compliance with all applicable laws and rules. 2007 Acts, ch 193, §4, 9; 2022 Acts, ch 1113, §3, 16, 23; 2024 Acts, ch 1100, §2; 2025 Acts, ch 151, §2, 9 Subsection 4 applies to pharmacy benefits managers, health carriers, third-party payors, and health benefit plans that manage a prescription drug benefit in the state on or after July 1, 2025; 2025 Acts, ch 151, §9 NEW subsection 4

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Iowa Code § 510B.4 - Standards of conduct — good faith — conflict of interest

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