Where pharmacistscan actually bill.
Visits, tests, vaccines, and everything else pharmacists can bill to the medical benefit, not the PBM. Look up your state and see what getting paid takes.
Rx Atlas tracks one thing: pharmacists getting paid as providers under the medical benefit, on professional claims, with code-level rates where states publish them. Dispensing and PBM contracts are someone else’s map.
Start with your state.
Each state page lays out the laws that let pharmacists bill, the payers that actually reimburse, published rates where they exist, and the steps to enroll.
Bill today
Payment is in force and payers are reimbursing. What’s left is enrollment, credentialing, and workflow.
21 states
Conditional
The law is on the books, but getting paid still runs through a gate: a CPA, a special enrollment type, or a limited program.
13 states
On the horizon
Passed or pending, not yet reliably payable. Worth tracking; too early to build a service line on.
17 states
Check our work.
Every state page links to the laws and payer manuals it was built from, with the date it was last reviewed, so you can verify anything before you act on it.