Pharmacy benefit manager licensing
Many individuals and business entities, on behalf of an insurer, third-party administrator, or the Oregon Prescription Drug Program (ORS 414.312), contract with pharmacies to process claims, pay pharmacies, or negotiate rebates for prescription drugs or medical supplies.
These individuals or business entities must obtain a license from the Department of Consumer and Business Services (DCBS). These licenses expire each year on Sept. 1 and must be renewed within 30 days. (OAR 836-200-0411)
Since January 2014, these individuals or business entities have been required to “register" with DCBS. Starting Jan. 1, 2025, this will change to a “license" requirement. Existing registrations will be converted to a license and all renewals will be processed as a license. No special action is required of the PBMs beyond renewing the registration/license as usual.
Pharmacy benefit manager does not include a health care service contractor as defined in
ORS 750.005.
The annual registration fee is $1,100.
Pharmacy benefit manager list
Pharmacy benefit managers registered in Oregon are required to report information to the Drug Price Transparency Program by June 1. Go to the Drug Price Transparency Program webpage for more information. Please note, the required data for reporting has changed in 2025.
Laws/rules governing pharmacy benefit managers
Forms
- Pharmacy Benefit Manager Licensing Application: PDF (440-4971)
- Renewal: Pharmacy benefit managers renew through the
iReg system. DCBS will send an email or letter annually providing instructions for filing.