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Text of CMS Request for Information: Pharmacy Benefit Manager Compensation and Data Collection
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] June 16, 2026 12 pages. "This request for information (RFI) solicits technical input on the services and business practices of pharmacy benefit managers (PBMs) and their affiliates to inform implementation of recent legislation. It specifically focuses on gathering information to inform two specific legislative requirements that are effective beginning calendar year 2028: restrictions on the remuneration that PBMs and their affiliates may receive for services in connection with the utilization of covered Part D drugs; and data reporting requirements.... "This request for technical input is narrowly focused on gathering information on current business practices to inform two specific requirements added to the Social Security Act by section 6224 of the Consolidated Appropriations Act, 2026 (CAA, 2026) ... [1] Definition of 'Pharmacy Benefit Manager' ... [2] Definition of 'Affiliate' ... [3] Definition of 'Bona Fide Service Fee' ... [4] Determination of 'Fair Market Value' ... [5] Pharmacy Payment." MORE >> |
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