The Department of Insurance (DOI) published its June 2025 newsletter. As a reminder pharmacy providers may submit inquiries and complaints on the DOI website. Complete a separate form for each PBM if there are multiple complaints. To date, the DOI has received 43 complaints from pharmacies regarding PBMs. Of these, 36 remain open or pending, while seven have been closed. Complaints may include multiple issues, with the most common being related to Maximum Allowable Cost (MAC) appeals and dispensing fees. The DOI Consumer Affairs team is also assisting the PBM Examiner with investigating reported concerns. For questions and information, please contact PBM@doi.idaho.gov.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.