北达科他州伯利县俾斯麦市保险厅10月29日通知25家药品福利管理机构:涉嫌无证经营、限20天内补办执照

北达科他州伯利县俾斯麦市的州保险厅10月29日宣布,保险专员乔恩·戈德弗里德已通知25家药品福利管理机构,指其涉嫌在北达科他州无证经营。这些机构须在收到通知后20天内提交完整的执照申请,否则将收到勒令停业令并面临进一步处罚与罚款。药品福利管理机构是保险公司、药房与药品制造商之间的中间商,影响着处方药定价、报销范围与药房报销,直接关系到北达科他州居民的药费负担以及本地药房服务社区的能力。保险厅表示,有信息显示这些机构未取得州法律要求的执照即在州内运营。按规定,在20天期限内提交完整申请的机构将按正常程序受理,保险厅不会发出勒令停业令;逾期未达标者则将收到停业令。此次执法源于2025年州议会通过的第1584号众议院法案,该法案在保险厅内设立了专门的药品福利管理处,并扩大了专员调查与执行州药品福利管理法律的权限。保险厅表示,此举旨在让药品福利管理机构在州法律框架内规范运营,保障居民用药权益。
Bismarck, Burleigh County, North Dakota: Insurance Department Notifies 25 Pharmacy Benefit Managers on October 29 of Suspected Unlicensed Activity, Gives 20 Days to Apply for Licenses
The North Dakota Insurance Department in Bismarck, Burleigh County, announced on October 29 that Insurance Commissioner Jon Godfread has notified 25 pharmacy benefit managers (PBMs) of apparent unlicensed activity in North Dakota. The companies must submit a complete license application within 20 days of receiving the notice, or face cease-and-desist orders and further penalties and fines. PBMs are intermediaries between insurers, pharmacies and drug manufacturers; they influence prescription drug pricing, coverage and pharmacy reimbursement, affecting what residents pay for medications and the ability of local pharmacies to serve their communities. The department said it has information indicating the companies are operating in the state without the license required by state law. PBMs that submit a complete application within the 20-day period will have their applications processed in the ordinary course and will not receive a cease-and-desist order; those that fail to meet the requirements will receive one. The enforcement follows House Bill 1584, passed by the 2025 Legislative Assembly, which established a dedicated PBM division within the department and expanded the commissioner's authority to investigate and enforce state PBM laws.
来源:GSM·美国(原文链接)
图片来源:图:北达科他州议会大厦(俾斯麦),Wikimedia Commons文件File:NDCapitol.jpg(Wikimedia Commons,授权 CC BY-SA 3.0,作者 )

