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-479 – see Laws and Regulations
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
- Apply by going to the National Insurance Producer Registry (NIPR). Under Licensing Center, select “Apply for a New License.”
- The 2nd Pharmacy Benefits Manager (PBM) Initial Application for a Certificate of Registration must be completed and attached to the NIPR warehouse.
How to Renew
- Renewal notices are EMAILED about 90 days before the expiration date.
- Apply by going to National Insurance Producer Registry (NIPR). Under Licensing Center, select “Renew an Existing License.”
- The 2nd Pharmacy Benefits Manager (PBM) Initial Application for a Certificate of Registration must be completed and attached to the NIPR warehouse.
How to Amend Lines of Authority
Not applicable.
How to Reinstate a License
- Apply by going to National Insurance Producer Registry (NIPR). Under Licensing Center, select “Apply for a New License.”
- The 2nd Pharmacy Benefits Manager (PBM) Initial Application for a Certificate of Registration must be completed and attached to the NIPR warehouse.
How to change License information (ie.: 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.