This RSA section is an unofficial mirror, is not legal advice, and may be incomplete, outdated, or incorrectly processed.
RSA 402-N:6 · Pharmacy Benefits Manager Reporting
402-N:6 Pharmacy Benefits Manager Reporting. –
Copy linkEach pharmacy benefits manager shall submit an annual or quarterly report to the commissioner containing a list of health benefit plans it administered and the rebates it collected from pharmaceutical manufacturers that were attributable to patient utilization in the state of New Hampshire during the prior calendar year. This paragraph shall not apply to Medicaid, the Medicaid Care Management Program, the Ryan White HIV/AIDS Program administered by the department of health and human services, or self-funded plans such as the state employee health benefit plan. The report submitted to the commissioner shall include the following information:
Copy linkThe aggregate number of rebates and total value received by the pharmacy benefit manager;
Copy linkThe aggregate number of rebates and total value distributed to the appropriate health care insurer;
Copy linkThe aggregate number of rebates and total value passed on to an insured of each health care insurer at the point of sale that reduced the insured's applicable deductible, copayment, coinsurance, or other cost-sharing amount;
Copy linkThe individual and aggregate amount paid by the health care insurer to the pharmacy benefit manager for pharmacist services itemized by pharmacy, by product (at the unique NDC level), and by goods and services; and
Copy linkThe individual and aggregate amount a pharmacy benefit manager paid for pharmacist services itemized by pharmacy, by product, and by goods and services.
Copy linkInformation reported to the commissioner pursuant to this section shall be confidential and protected from disclosure under the commissioner's examination authority and shall not be considered a public record subject to disclosure under RSA 91-A. Based on this reporting, the commissioner shall make public aggregated data on the overall amount of rebates collected on behalf of covered persons in the state, but shall not release data that identifies a specific insurer or pharmacy benefit manager. Source. 2019, 320:2, eff. Jan. 1, 2020. 2024, 305:1, eff. June 30, 2024.
Copy linkSource note
Source. 2019, 320:2, eff. Jan. 1, 2020. 2024, 305:1, eff. June 30, 2024.
Source history
- 2019, 320:2, eff. Jan. 1, 2020
- 2024, 305:1, eff. June 30, 2024
Related materials
Bill relationships
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2026 HB1268
amend · effective 2027-01-01
s: (a) [For each separate violation, a penalty in the amount of $2,500] An administrative fine not to exceed $5,000 per violation. 13 New Section; Written Agreements. Amend RSA 402-N by inserting after section 2 the following new section: 402-N:2-a. Written Agreement. I. No pharmacy benefits manager shall act as such without a written agreement between the pharmacy benefits manager and the h
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2026 HB1268
repeal · effective 2027-01-01
he health carrier may, at least semi-annually, conduct an on-site or virtual audit of the operations of the pharmacy benefits manager. 14 Pharmacy Benefits Manager Reporting. RSA 402-N:6 is repealed and reenacted to read as follows: 402-N:6 Pharmacy Benefits Manager Reporting. I. Each pharmacy benefits manager shall submit to the commissioner annually a report containing a list of health benefit
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2026 SB478
amend · effective 2027-01-01
rules, pursuant to RSA 541-A, to implement this act, including standardized reporting formats, confidentiality protections, audit standards, and enforcement. II. Penalties under RSA 402-N shall remain administrative and proportionate. No private right of action is created. 4 New Section; Employer Choice and State Plan Alignment. Amend RSA 402-N by inserting after section 2 the following new section:
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2026 SB478-FN
amend · effective 2027-01-01
rules, pursuant to RSA 541-A, to implement this act, including standardized reporting formats, confidentiality protections, audit standards, and enforcement. II. Penalties under RSA 402-N shall remain administrative and proportionate. No private right of action is created. 4 New Section; Employer Choice and State Plan Alignment. Amend RSA 402-N by inserting after section 2 the following new section:
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2026 SB547
amend · effective 2026-10-01
hat is in excess of the amount the pharmacy benefit manager paid to the pharmacy that filled the prescription. 3 New Section; Pharmacy Benefit Manager Business Practices. Amend RSA 402-N by inserting after section 4-a the following new section: 4-b Pharmacy Benefit Manager Business Practices. I. A pharmacy benefit manager has a fiduciary duty to a health carrier client or affiliate and shall dischar
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2026 SB547
repeal · effective 2026-10-01
provider that is an affiliate of the pharmacy benefit manager. VI. No pharmacy benefit manager may retain any portion of spread pricing. 4 Pharmacy Benefit Manager Reporting. RSA 402-N:6, I is repealed and reenacted to read as follows: I. Each pharmacy benefit manager shall submit a quarterly report to the commissioner containing a list of health benefit plans it administered and the rebates it coll
-
2026 SB547-FN
amend · effective 2026-10-01
hat is in excess of the amount the pharmacy benefit manager paid to the pharmacy that filled the prescription. 3 New Section; Pharmacy Benefit Manager Business Practices. Amend RSA 402-N by inserting after section 4-a the following new section: 4-b Pharmacy Benefit Manager Business Practices. I. A pharmacy benefit manager has a fiduciary duty to a health carrier client or affiliate and shall dischar
-
2026 SB547-FN
repeal · effective 2026-10-01
provider that is an affiliate of the pharmacy benefit manager. VI. No pharmacy benefit manager may retain any portion of spread pricing. 4 Pharmacy Benefit Manager Reporting. RSA 402-N:6, I is repealed and reenacted to read as follows: I. Each pharmacy benefit manager shall submit a quarterly report to the commissioner containing a list of health benefit plans it administered and the rebates it coll
-
2026 SB665
repeal · effective 2027-01-01
e health carrier shall, at least semi-annually, conduct an on-site or virtual audit of the operations of the pharmacy benefits manager. 4 Pharmacy Benefits Manager Reporting. RSA 402-N:6 is repealed and reenacted to read as follows: 402-N:6 Pharmacy Benefits Manager Reporting. I. Each pharmacy benefits manager shall submit to the commissioner semi-annually a report containing a list of health be
-
2026 SB665
amend · effective 2027-01-01
-compliance shall be considered a separate violation. (b) Revocation or suspension of the pharmacy benefits manager registration. 3 New Section; Written Agreements. Amend RSA 402-N by inserting after section 2 the following new section: 402-N:2-a. Written Agreement. I. No pharmacy benefits manager shall act as such without a written agreement between the pharmacy benefits manager and the h
-
2026 SB665-FN
amend · effective 2027-01-01
-compliance shall be considered a separate violation. (b) Revocation or suspension of the pharmacy benefits manager registration. 3 New Section; Written Agreements. Amend RSA 402-N by inserting after section 2 the following new section: 402-N:2-a. Written Agreement. I. No pharmacy benefits manager shall act as such without a written agreement between the pharmacy benefits manager and the h
-
2026 SB665-FN
repeal · effective 2027-01-01
e health carrier shall, at least semi-annually, conduct an on-site or virtual audit of the operations of the pharmacy benefits manager. 4 Pharmacy Benefits Manager Reporting. RSA 402-N:6 is repealed and reenacted to read as follows: 402-N:6 Pharmacy Benefits Manager Reporting. I. Each pharmacy benefits manager shall submit to the commissioner semi-annually a report containing a list of health be