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Arkansas Insurance Department warns PBMs: NAADAC/MAC violations under review; fines possible

PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE · September 7, 2021
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Summary

Insurance Department officials told the committee they have seen a recent surge of pharmacy complaints alleging PBM reimbursement below NAADAC and MAC thresholds, and said they will pursue enforcement including fines, license suspensions and possible legislative fixes to increase penalties.

Booth Rand and Beth Barrington of the Arkansas Insurance Department told the Senate Public Health, Welfare and Labor Committee that the department is actively enforcing state rules that require pharmacy benefit manager reimbursements at least at NAADAC levels and not below a pharmacy’s invoice or MAC where applicable.

Rand described a recent increase in complaints — roughly 50 in…

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