As you are aware, late in 2021 several PBM legislative packages were signed into law. Now as the NYS Department of Financial Services is developing regulations, the Department is seeking public comment on a series of issues. Those requests for comments can be found on the Department of Financial Services website: www.dfs.ny.gov/pbm.
The most recent Department request is for public comments about the applicability of the Pharmacy Benefit Manager (“PBM”) laws set forth in New York Insurance Law Article 29, as well as the need for rules to be promulgated thereunder, on PBM conduct while credentialing and re-credentialing pharmacies into a PBM network. View the Request for Public Comments (PDF)
Responses should be emailed to PBM@dfs.ny.gov, with “PBM2022-05” included in the subject line. Failure to include “PBM2022-05” in the subject line may result in your comment not being considered. The deadline for responses is September 9, 2022.
Also in New York, NYS Medicaid recently held a pharmacy sector meeting and discussed the work being done to ensure a smooth transition for pharmacy benefits from Medicaid Managed Care to Fee for Service (FFS). Here are the NYSDOH Pharmacy Benefit transition slides presented at the July 20th Medicaid meeting.
For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.