Pharmacy Receipt Montana is one testing ground for whether more transparency leads to lower drug prices with a new law that places PBMs under state oversight. (Photo: Shutterstock)

Under pressure to rein in skyrocketing prescription drug costs, states are targeting companies that serve as conduits for drug manufacturers, health insurers and pharmacies.

More than 100 separate bills regulating those companies, known as pharmacy benefit managers, have been introduced in 42 states this year, according to the National Academy for State Health Policy, which crafts model legislation on the topic. The flood of bills comes after a U.S. Supreme Court ruling late last year backed Arkansas' right to enforce rules on the companies. At least 12 of the states have adopted new oversight laws. But it's not yet clear how much money consumers will save immediately, if at all.

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