The Governor’s FY2026 Budget recommendations, propose the addition of a tax for prescriptions in MA.

• This would require outpatient pharmacies (including, but not limited to, retail pharmacies, hospital pharmacies, compounding pharmacies, specialty pharmacies and pharmacies located at federally qualified health centers) to pay a tax per prescription dispensed in Massachusetts.
• The amount proposed is not to exceed $2/prescription or 6% of the pharmacy’s revenues over each defined time period.
• The entire proposal for the pharmacy tax can be found here.
• MSHP has been closely monitoring this issue and has taken the following actions:
• Participated in a caucus of 2/29/2025 with other MA pharmacy associations to advocate in opposition to this tax.
• Assisted in coordination of a letter to legislators that MA pharmacy associations, neighboring state associations, and national society’s including ASHP have signed onto. See the letter here.
• Developed MSHP’s Statement on the Pharmacy Tax. See the statement here.
• What can you do? Contact you state representative to advocate your opposition to this tax. You can identify your state representative here: https://malegislature.gov/Search/FindMyLegislator