Pharmacy Benefit Management (PBM) Survey

PURSUANT TO CONN. GEN. STAT. §38a-479ppp (Public Act 18-41)

Beginning in 2021 and annually thereafter, each PBM (as defined by Gen. Stat.§38a-479ooo(10)) must file a report with the Insurance Commissioner for the immediately preceding calendar year. This report must contain the following information concerning health carriers that delivered, issued for delivery, renewed, amended, or continued health care plans1 in Connecticut that included a pharmacy benefit managed by the PBM during such calendar year:

Reporting Period for 2023 Calendar Year

1. The aggregate dollar amount of all rebates as described in Conn. Gen. Stat. §38a479ppp(a)(1). * Required
2. The aggregate dollar amount of all rebates as described in Conn. Gen. Stat. §38a479ppp(a)(2). * Required

¹ "Health care plan" means an individual or a group health insurance policy that provides coverage of the types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of the Connecticut General Statutes and includes coverage for outpatient prescription drugs (i.e., fully insured market only, for individual, small group and large group. Stop Loss/Level Funded and Self-Insured Plans are not to be included in this survey).

Please note, all information submitted to the Commissioner in this survey shall be exempt from disclosure under the Freedom of Information Act, as defined in section 1-200 of the Connecticut General Statutes, except to the extent such information is included on an aggregated basis (i.e., all PBMs combined) in the report required to be submitted by the Commissioner to the General Assembly not later than March 1, 2022, and annually thereafter (See Gen. Stat. §38a479ppp(d)).

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* NOTICE: A compliance point of contact is REQUIRED in case additional information is necessary.