Drug benefit managers must detail their pay to large self-insured employer health plans
Pharmacy benefit managers, and brokers and consultants tied to them, must tell self-insured employer health plans with at least 100 employees or participants what they earn, including drug maker rebates, spread pricing and copay claw-backs, before a contract and twice a year after. Plans can audit the figures.
Who it affects
Pharmacy benefit managers, their affiliated brokers and consultants, large self-insured employer plans
When
The changes described here start on July 1, 2027.
- : Published in the Federal Register
- : The disclosure rule itself takes effect
- : The changes described here start to apply: disclosure rules cover plan years that start this day or later
- : A separate law requires managers to pass rebates to plans
Official text
FR Doc. 2026-22306: Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure
On Federal Register. The official text is what counts; read it before you act.
Not legal advice. Plain-English summaries to help you find what changes and when. Not legal advice: read the official text, and ask a lawyer about your situation.