1. Short title This Act may be cited as the Delinking Revenue from Unfair Gouging Act or the DRUG Act . 2. Improving pharmacy benefit manager services (a) Public Health Service Act Part D of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg–111 et seq. ) is amended by adding at the end the following: 2799A–11. Improving pharmacy benefit manager services (a) General For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees from any entity for services provided to such entity. (b) Exception for flat service fees (1) In general A pharmacy benefit manager may charge an entity a flat service fee for the provision of services to such entity if such fee is set forth in an agreement between the pharmacy benefit manager and such entity. (2) Definitions In this section— (A) the term flat service fee means a flat dollar amount that is not directly or indirectly based on, or contingent upon, or otherwise related to— (i) a drug price (such as wholesale acquisition cost) or drug benchmark price (such as average wholesale price); (ii) discounts, rebates, fees, or other remuneration with respect to prescription drugs prescribed to the participants, beneficiaries, or enrollees in the group health plan or coverage involved; or (iii) any other amounts specified by the Secretary, the Secretary of Labor, and the Secretary of the Treasury; and (B) the term pharmacy benefit manager means any person, business, or other entity such as a third-party administrator, regardless of whether it identifies itself as a pharmacy benefit manager, that, either directly or through an intermediary (including an affiliate, subsidiary, or agent) or an arrangement with a third party— (i) acts as a price negotiator for prescription drugs on behalf of a group health plan or health insurance issuer offering group or individual health insurance coverage