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Registering or operating as a pharmacy benefit manager (PBM) between July and December 2021 | Washington state Office of the Insurance Commissioner


Registering or operating as a pharmacy benefit manager (PBM) between July and December 2021
All entities acting as a Pharmacy Benefit Manager (PBM) in Washington state under RCW Chapter 19.340 (leg.wa.gov) must register with the Office of the Insurance Commissioner (OIC).
Please Note: 
Beginning January 1, 2022, all entities acting as a PBM must be registered as a Health Care Benefit Manager (HCBM) to operate in the state of Washington.
How to register as a PBM through December 31, 2021
All PBM applicants must register through the OIC s online registration portal accessed through the new HCBM web page. When you register, login instructions and credentials for filing information and making the $200 registration fee payment will be provided to your primary contact person.  ....

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Alston & Bird Health Care Week in Review - April 2021 #5 | Alston & Bird


Below is Alston & Bird’s
Health Care Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news.
Week in Review Highlight of the Week:
This week, CMS released its FY 2022 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Rates Proposed Rule. Read more about the rule and other news below.
I. Regulations, Notices & Guidance
On April 26, 2021, the Food and Drug Administration (FDA) issued guidance entitled,
Nonclinical Testing of Individualized Antisense Oligonucleotide Drug Products for Severely Debilitating or Life-Threatening Diseases; Draft Guidance for Sponsor-Investigators. FDA is publishing this draft guidance to help sponsor-investigators with developing the nonclinical information that FDA recommends to support an investigational new drug application (IND) f ....

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Insurance Commissioner on SB 395 and Pharmacy Benefit Managers


Insurance Commissioner on SB 395 and Pharmacy Benefit Managers
Downing spoke to KGVO News on Tuesday and described the issue.
“I was talking to somebody over at Blue Cross who said that nearly a third of the money that they spend on patient care is going to prescription drugs,” said Downing. “If you think about that all the money that they re spending for surgeries and hospitalizations and doctor s appointments and everything else that I m paying for, that a third of it is going to prescription drugs.”
He explained the role of a Pharmacy Benefit Manager.
“One of those middle players is called a PBM or a Pharmacy Benefit Manager, and they manage the prescription drug programs for these health plans,” he said. “They work with the drug manufacturers and they try to get bulk discounts and do what they can on the manufacturers and they work with the pharmacies and they put together with these plans, and these formularies.” ....

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