The Maine Bureau of Insurance provides on this page all of the information necessary to register a Pharmacy Benefits Manager. Contact Us if you have questions or are unable to find what you are looking for.
Important Notice: Starting 2024, ALL Renewal and New Applications for a Pharmacy Benefits Manager registration must be submitted via EMAIL ONLY. Paper submissions will no longer be accepted as we are transitioning to an online process in the very near future.
Please make sure your contact information is up to date in order to receive timely notifications for renewals.
If you have any question, please contact Violet Hyatt at violet.m.hyatt@maine.gov
Application
- Pharmacy Benefits Manager (PBM) Application Checklist (PDF)
- Pharmacy Benefits Manager (PBM) License Application (PDF)
Fiduciary Agreement
Fees
- Fee Schedule - (Scroll to Item 28)
- Authorization of Credit Card Payment (PDF)
Update License Information
Annual Reporting Requirements
Requesting Confidential Treatment of Documents
Statutory Requirements
- 24-A M.R.S. §§ 4347-4350-E (Licensure of Pharmacy Benefits Managers)
The documents on this page are also available in hard copy by contacting the Bureau.