2025 Membership (PDF)

2025 Charges

The Pharmacy Benefit Management (D) Working Group will:

1. Establish and promote uniform examination and data collection standards while remaining sensitive to the variations in state approaches.

2. Develop examination standards for PBMs and related regulated entities for inclusion in the NAIC Market Regulation Handbook, which will provide consistent guidance and assure more predictable and fair market regulation. 

3. Develop licensing and registration standards for PBMs in alignment with state and federal requirements, providing states with criteria to support uniformity in the licensure process.

4. Establish protocols for the collection and analysis of data related to PBM examinations and market practices.

5. Monitor and address market conduct trends associated with PBMs and the regulatory efforts of the states.

6. Serve as a forum to share best practices, examination findings, and compliance issues encountered with PBM regulation. 

7. Facilitate coordination with federal and state agencies to support compliance and enforcement of PBM regulations and ensure alignment with federal standards, where applicable, minimizing redundancy and promoting collaboration.