CMS Requests Technical Input on PBM Compensation and Affiliate Practices
On June 18, 2026, CMS published a Request for Information seeking stakeholder input on pharmacy benefit manager services, compensation structures, affiliate relationships, and data collection practices. The RFI aims to gather technical details that will inform future rulemaking on PBM operations under Medicare Part D. Comments are due approximately 60 days from publication in the Federal Register. While focused on Part D, PBM transparency requirements and data standards developed through this process could eventually extend to Medicaid managed care pharmacy operations.
PBM transparency and data reporting standards developed for Part D often become templates for Medicaid managed care pharmacy carve-ins, affecting contract terms, rebate transparency, and administrative burden.
Pharmacy · Managed Care
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