Resources & Helpful Links
Rule 128 Reporting
Complaints
Please fill out and email PBM complaints to [email protected]
PBM Licensing Information
- PBM Application
- PBM Renewal Application
- Pharmacy Benefit Manager Name Change Form
- Attachment 1 – PBM License Application
- Arkansas Pharmacy Benefits Manager Licensure Act, Ark. Code Ann. § 23-92-501 et seq.
- 23 CAR pt. 148, also known as “Rule 128,” Fair and Reasonable Pharmacy Reimbursements
- 23 CAR pt. 146, also known as “Rule 118,” Pharmacy Benefits Managers Regulation
- Rule 106, Network Adequacy
- 23 CAR pt. 137, Network Adequacy Reporting Data Specification and Data Submission Templates
- Arkansas PBM Share the Savings Act (Act 333 of 2023) Certificate of Compliance Form
If you can’t find what you need, please email licensing and reporting questions to [email protected].
Bulletins for PBMs
- 02-2025 Updated Review Process for Rule 128 Reports
- 18-2024 Data Reporting and Arkansas Insurance Department (“AID”) Review Processes For Implementation of Arkansas Insurance Department Rule 128: Fair and Reasonable Pharmacy Reimbursements
- 08-2024 PBM Reimbursement(s) At NADAC Minimum Levels
- 04-2024 PBM Reimbursement(s) Below NADAC Amounts
- 19-2023 Arkansas Share the Savings Legislation, Act 333 of 2023
- 18-2023 Failure to Adhere to Anti-Clawback Law and Failure to Lawfully Adjust Pricing in Compliance with MAC and NADAC Law
- 16-2023 Compliance with Act 333 of 2023, the Arkansas Pharmacy Benefits Manager Share the Savings Act
- 11-2022 NADAC Reimbursement Violations in Originating PBM Reimbursement Contracts
- 10-2022 PBM Fees and Credentialing Fees
- 9-2022 Fairness in Cost Sharing Report (Act 965 of 2021)
- 05-2022 Bulk Appeals and Invoice Cost in MAC Appeals
- 04-2022 PBM Seasoning Requirements
- 13-2021 “NADAC” Pricing Minimums
- 11-2021 Maximum Allowable Cost Appeals to the Arkansas Insurance Department (AID)
- 09-2021 Compliance with All Payer Claims Database
Relevant Arkansas Code Sections
Code of Arkansas Public Access Look Up
- Patient Rights Regarding Payment for Pharmacists Services Act, Ark. Code Ann. § 4-88-1001 et seq.
- Maximum Allowable Cost List, Ark. Code Ann. § 17-92-507
- Arkansas Pharmacy Audit Bill of Rights, Ark. Code Ann. § 17-92-1201
- Trade Practices Act, Ark. Code Ann. § 23-66-201 et seq.
- Arkansas Health Insurance Consumer Choice Act, Ark. Code Ann. § 23-79-801 et seq.
- Healthcare Payor Identification Card Act, Ark. Code Ann. § 23-79-2001 et seq.
- Fairness in Cost Sharing Report (Act 965 of 2021), Ark. Code Ann. § 23-79-2301
- Arkansas Pharmacy Benefits Manager Share the Savings Act, (Act 303 of 2023), Ark. Code Ann. § 23-79-701 et seq.
- Any Willing Provider, Ark. Code Ann. § 23-99-801 et seq.
- Prior Authorization Transparency Act, Ark. Code Ann. § 23-99-1101 et seq.
- Healthcare Contracting Simplification Act, Ark. Code Ann. § 23-99-1201