Pharmacy Benefit Manager (PBM)
Definition
PHARMACY BENEFIT MANAGER (PBM) – A business arrangement or contract in which a person, in exchange for payment, provides access for its members to providers of health care services and the right to receive health care services from those providers at a discount.
Applicable Statutes
C.G.S. §38a-479bbb & Regulation: 38a-479aaa
Fees
Initial: $100.00
Reinstatement: $100.00
Renewal: $100.00
No pro-rating, non-refundable application fee.
Duration
One (1) year – Renews December 31st EVERY year.
How to Apply
- NIPR online application: Apply by going to the National Insurance Producer Registry (NIPR). Under Licensing Center, select “Apply for a New License.”
- Complete the Pharmacy Benefits Manager (PBM) Certificate of Registration supplemental form with the required supporting documents.
How to Renew
- Renewal notices are EMAILED about 90 days before the expiration date. To verify/update the email address the Department has on file, go to NIPR’s Change Contact Information.
- NIPR online application: Apply by going to the National Insurance Producer Registry (NIPR). Under Licensing Center, select “Renew an Existing License.”
- Complete the Pharmacy Benefits Manager (PBM) Certificate of Registration supplemental form with the required supporting documents.
How to Amend Lines of Authority
Not applicable.
How to Reinstate a License
- NIPR online application: Apply by going to National Insurance Producer Registry (NIPR). Under Licensing Center, select “Apply for a New License.”
- Complete the Pharmacy Benefits Manager (PBM) Certificate of Registration supplemental form with the required supporting documents.
How to change License information (i.e.: email and address)
Update your License Information
Print a copy of the license
Initial Education Requirements
Not applicable.
Waivers due to Designations
Not applicable.
Renewal Continuing Education (CE) Requirements
Not applicable.
Cancel License
License Voluntary – Surrender Request
Important Information
Pharmacy Benefitd Manager (PBM) Certificate of Registration FAQs