RHLD: Pharmacy Benefit Manager Regulation Program

Process and Requirements Documentation

The process and requirements for Pharmacy Benefit Manager data submission.

Reporting Data Specifications (PDF)  

Specification of data requirements and periodicity.

Published: 2/13/2025

General Data Transfer Procedures  

Link to general data submission process.

Applicable Community Retail Pharmacy Taxonomic Definition (Excel)  

Published: 1/15/2025

Data Submission Templates

Templates for use in data submission. See Reporting Data Specification for further descriptions.

PLN: Pharmacy Locations (Excel)  

Published: 01/07/2025

PDT: Pharmacy Declinations Totals (Excel)  

Published: 01/07/2025

PCT: Pharmacy Contract Terminations (Excel)  

Published: 01/07/2025

SAR: Service Areas (Excel)  

Published: 01/07/2025

NID: Network ID (Excel)  

Published: 01/07/2025

IPD: Issuer Plan Data (Excel)  

Published: 01/07/2025

IAD: Issuer Administrative Data (Excel)  

Published: 01/07/2025

PDD: Pharmacy Declinations Details (Excel)  

Published: 01/07/2025

Meeting Materials and Minutes

Archive of meeting materials and minutes.

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Laws and Rules

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