Pharmacy MAC Rights

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South Dakota PBM MAC rights

Status No usable MAC appeal right

Read this one carefully. The research turned up something about this state that could mislead you if skimmed — usually a repeal, a renumbering, or a stale official page. The detail is in the fields below.

What the law says
MAC list rules but NO appeal right of any kind — no window, no response deadline, no denial duty, no correction duty. Updates are event-driven only (7 days after a ≥10% wholesaler price rise or a methodology change), so there is no floor on staleness. SD's real remedy is broader than most: SDCL 58-29E-10 gives pharmacies a private right of action, including injunctive relief and damages. ⚠️ Summaries attributing a MAC-appeals provision to "SD SB 163 (2025)" are wrong — that bill is about labeling of firefighting equipment
How we determined that
SDCL ch. 58-29E index

This is worth knowing precisely

Several widely used sources still describe rights in states that repealed them, or quote bills that never passed. If you have been told you have an appeal right here, check the statute before you rely on it. What we found.

Your contract may still give you more than the statute does, and the request letter costs you nothing to send.

Sources

Think this is wrong? Tell us and we will check it. A repeal we missed, or a provision we read past, is exactly what we want to hear about.

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