Licensing of Pharmacy Benefit Managers RAC

HB 4149 (2024) requires pharmacy benefit managers (PBMs) to be licensed by the Department of Consumer and Business Services beginning January 1, 2025. 

Modifies the definition of "pharmacy benefit manager" and imposes new requirements on pharmacy benefit managers. 

Restricts audits of pharmacy claims for reimbursement. Requires pharmacy benefit managers to report specified information to the department on an annual basis. 

Imposes new requirements with respect to the insurance coverage of 340B drugs.

Rulemaking updates

• Hearing Officer Report
• Permanent filing
• Notice of Proposed Rulemaking

Public comment letters

• Public comments will be posted as they become available.

• 1/28/2025, Gregg K., ClassOne Insight
• 2/21/2025, Dharia M., PhRMA
• 3/3/2025, Terrell S., Johnson & Johnson
  

Click below to read adopted temporary rule related to this RAC:

Committee Contacts

Numi Griffith
Senior Policy Advisor
numi.l.griffith@dcbs.oregon.gov
Phone: 503-507-6758

Karen Winkel
Rules Coordinator
Karen.J.Winkel@dcbs.oregon.gov
Phone: 503-947-7694