Arkansas lawmakers are teaming up against pharmacy benefit managers. Many have been outspoken for months, saying PBMs continue hurting independent pharmacies in the natural state.

Rand told lawmakers that for about the past year, health insurance plans and pharmacy benefit managers have been reimbursing pharmacies in Arkansas "very close" to what it costs to buy ingredients without dispensing fees, or sometimes even reimbursing pharmacies below what it costs the pharmacies to purchase drugs.