Virginia Pushes for Board Tying Drug Costs to Medicare Prices

Feb. 23, 2026, 10:05 AM UTC

High prescription drug costs are facing greater oversight at the state level as Virginia lawmakers charge ahead with measures to lower prices, joining a handful of states already at odds with the pharmaceutical industry.

Virginia is on a path toward joining around a dozen other states that have enacted prescription drug affordability boards or something like them. PDABs, as they’re known, come with a variety of powers.

Some, like Minnesota and Maryland, can set upper payment limits for drugs—an authority that has spurred drugmaker litigation against Colorado that could have a ripple effect. Others, like Maine and New Hampshire, can ...

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