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Pharmacy Benefit Manager Regulatory Issues (B) Subgroup

2021 Membership

2021 Revised Adopted Charges:

The Pharmacy Benefit Manager Regulatory Issues (B) Subgroup will:

  1. Consider developing a new NAIC model to establish a licensing or registration process for pharmacy benefit managers (PBMs). The Subgroup may consider including in the new NAIC model provisions on PBM prescription drug pricing and cost transparency.
  2. Develop a white paper to: 1) analyze and assess the role PBMs, Pharmacy Services Administrative Organizations (PSAOs), and other supply chain entities, play in the provision of prescription drug benefits; 2) identify, examine and describe current and emerging state regulatory approaches to PBM business practices, such as price transparency and reporting requirements, rebating and spread pricing, including the implications of the Rutledge vs. Pharmaceutical Care Management Association (PCMA) decision on such business practices; and 3) discuss any challenges, if any, the states have encountered in implementing such laws and/or regulations.  
Pharmacy Benefit Manager Regulatory Issues (B) Subgroup

Public Conference Call
Thursday, October 29, 2020
4:00 PM ET, 3:00 PM CT, 2:00 PM MT, 1:00 PM PT
Expected Length of Call: 1 hr
Diamond Pass Link

Review Revised PBM Model Draft and Consider Adoption.


Pharmacy Benefit Regulatory Issues (B) Subgroup

Public Conference Call
Thursday, October 22, 2020
4:00 PM ET, 3:00 PM CT, 2:00 PM MT, 1:00 PM PT
Expected Length of Call: 1 hr
Diamond Pass Link

Continue Discussion of Sept. 1 comments.


Pharmacy Benefit Manager Regulatory Issues (B) Subgroup

Public Conference Call
Thursday, October 08, 2020
12:00 PM ET, 11:00 AM CT, 10:00 AM MT, 9:00 AM PT
Expected Length of Call: 1 hr
Diamond Pass Link

Continue Discussion of Sept. 1 Comments.


Pharmacy Benefit Manager Regulatory Issues (B) Subgroup

Public Conference Call
Thursday, October 01, 2020
4:00 PM ET, 3:00 PM CT, 2:00 PM MT, 1:00 PM PT
Expected Length of Call: 1 hr
Diamond Pass Link

Continue Discussion of Sept. 1 comments.


Related NAIC Publications

Contacts

Media Inquiries
(816) 783-8909
news@naic.org


Jolie H. Matthews
Senior Health Policy Advisor and Counsel
Phone: 202-471-3982

Please see the current Committee List for a complete list of committee members.