Oregon Department of Consumer and Business Services, Insurance Regulation
Application Requirements for Pharmacy Benefit Manager
(1)Each pharmacy benefit manager conducting business in Oregon must register with the Department of Consumer and Business Services. To register as a pharmacy benefit manager, an applicant must submit a Pharmacy Benefit Manager Application, in form as posted on the Department’s Division of Financial Regulation website.
(2) An application for registration as a pharmacy benefit manager shall include:
(a) The name, address and FEIN of the pharmacy benefit manager;
(b) The names, business addresses and job titles of the principal officers of the pharmacy benefit manager;
(c) The name, business address, business telephone number, business e-mail address and job title of the officer or employee who should be contacted regarding any pharmacy benefit manager regulatory compliance concerns;
(d) The business telephone number and business e-mail address where pharmacy benefit manager personnel directly responsible for the processing of appeals may be contacted; and,
(e) Information relevant to a determination of the circumstances listed in section 2(1), chapter 73, Oregon Laws 2017.
(3) A pharmacy benefit manager shall provide the Department with written notification of any change to its registration information not later than 30 days after the date of change.
(4) The application for registration as a pharmacy benefit manager must include a fee of $1100.