Pennsylvania Insurance Department

Pharmacy Benefit Managers

All provisions of Pennsylvania's Act 77 of 2024, the Pharmacy Benefit Reform Act relating to Pharmacy Benefit Managers (PBMs) are now in effect.

Registration and Reporting

Pharmacy Services Administration Organizations (PSAOs)

To conduct business in Pennsylvania, a PSAO must pay the $500 fee and register with PID. Registration is for a term of two years.

PSAOs have an ongoing obligation to report changes in ownership to PID.

Email changes of ownership to ra-in-companylicense@pa.gov.

Pharmacy Benefit Managers (PBMs) & Auditing Entities

A PBM or Auditing Entity's initial application and renewal fees have increased to $10,000.

Act 77 requires the annual submission of a network adequacy report and transparency report. Learn more about annual reporting requirements for PBMs.

Questions?

If you have questions or are unable to register/renew online through Sircon, please contact our Company Licensing Division for assistance.