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 2023, renewal notices will be emailed. Please contact Violet Hyatt at email@example.com to update your contact information by 12/31/22.
- Pharmacy Benefits Manager (PBM) Application Checklist (PDF)
- Pharmacy Benefits Manager (PBM) License Application (PDF)
- Fee Schedule - (Scroll to Item 28)
- Authorization of Credit Card Payment (PDF)
Update License Information
Annual Reporting Requirements
Requesting Confidential Treatment of Documents
- 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.