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: 3/24/2023

General Data Transfer Procedures

Link to general data submission process.

Data Submission Templates

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

PLN: Pharmacy Locations (Excel)

Published: 01/18/2024

PDT: Pharmacy Declinations Totals (Excel)

Published: 01/18/2024

PCT: Pharmacy Contract Terminations (Excel)

Published: 01/18/2024

SAR: Service Areas (Excel)

Published: 01/18/2024

NID: Network ID (Excel)

Published: 01/18/2024

IPD: Issuer Plan Data (Excel)

Published: 01/18/2024

IAD: Issuer Administrative Data (Excel)

Published: 01/18/2024

PAS: Pharmacy Access Statistics (Excel)

Published: 01/18/2024

PDD: Pharmacy Declinations Details (Excel)

Published: 01/18/2024

Meeting Materials and Minutes

Archive of meeting materials and minutes.

Are You Looking For…?

File a Complaint