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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.

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

Meetings

Wednesday, October 30, 2024, 1-3pm

Documents

Agenda

HB 4149 Engrossed

Draft Rule (redline)

Draft Rule (clean)

Microsoft Teams

Join the meeting now
Meeting ID: 289 087 998 820
Passcode: eundRV

Dial in by phone:
+1 503-446-4951,,927157620# United States, Portland
Phone conference ID: 927 157 620#

Committee members

Amanda Meeker
Oregon Primary Care Association

Amy Burns
Allcare CCO

Austin Blakeslee
Hi-School Pharmacy

Jennifer Baker
Express Scripts/Cigna

John Murray
Murray’s Drugs

Lorren Sandt
Caring Ambassadors

LuGina Mendez Harper
Prime Therapeutics

Madonna McGuire Smith
Pacific NW Bleeding Disorders

Marris Alden
Cambia Health