OR| Oregon Issues Administrative Order ID6-2025, a permanent rule order that updates Oregon’s regulations regarding Pharmacy Benefit Managers (PBMs) and insurer reporting on drug pricing and pharmacy benefit activities. It replaces “registration” requirements with a consistent “licensure” framework, aligns reporting and complaint processes with new and existing statutory requirements, adds detail to what PBMs and insurers must report about rebates, spread pricing, and dispensing fees, and introduces additional protections and clarifications for pharmacies and consumers. Effective 8/1/2025.
Three main bullet points:
- Licensure and Administrative Process Updates: PBMs must now obtain an annual license (instead of simple registration) and submit detailed applications and renewals, with $1,100 fees, and must provide updated information within 30 days of changes.
- Expanded Reporting and Transparency Requirements: Insurers and PBMs must file annual reports detailing prescription drug costs, rebates, administrative/spread pricing income, dispensing fees, and the impact on premiums—all to increase transparency regarding prescription drug pricing and subsidies.
- Strengthened Pharmacy Protections and Market Conduct Rules: The updated rules clarify requirements for PBMs in areas such as reimbursement, appeals, mail-order pharmacy, specialty drugs, and anti-retaliation measures, preventing penalization of pharmacies for appeals, complaints, or participation in regulatory processes.