{"id":27007,"date":"2025-09-18T00:00:00","date_gmt":"2025-09-18T04:00:00","guid":{"rendered":"https:\/\/www.resourcepro.com\/bulletin\/massachusetts-sets-january-2026-deadline-for-pharmacy-benefit-manager-licensing-compliance\/"},"modified":"2025-09-18T00:00:00","modified_gmt":"2025-09-18T04:00:00","slug":"massachusetts-sets-january-2026-deadline-for-pharmacy-benefit-manager-licensing-compliance","status":"publish","type":"bulletin","link":"https:\/\/www.resourcepro.com\/bulletin\/massachusetts-sets-january-2026-deadline-for-pharmacy-benefit-manager-licensing-compliance\/","title":{"rendered":"Massachusetts Sets January 2026 Deadline for Pharmacy Benefit Manager Licensing Compliance"},"content":{"rendered":"\n<p><strong>MA<\/strong>| The <strong>Massachusetts Division of Insurance<\/strong> <a href=\"https:\/\/www.mass.gov\/doc\/bulletin-2025-04-requirements-for-2026-licensure-of-pharmacy-benefit-managers-issued-september-18-2025\/download\" target=\"_blank\" rel=\"noreferrer noopener\">Bulletin 2025-04<\/a>, establishes the licensing requirements for Pharmacy Benefit Managers (PBMs) operating in Massachusetts for the 2026 calendar year, pursuant to Chapter 342 of the Acts of 2024 and M.G.L. c. 176Y. <strong><em>All PBMs must obtain a license from the Division of Insurance by January 1, 2026, to legally conduct business in the Commonwealth.<\/em><\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-key-points\"><span style=\"text-decoration: underline;\">Key Points:<\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>All PBMs must submit a detailed licensure application\u2014including organizational, operational, and financial information\u2014by October 15, 2025<\/strong>; failure to do so prevents legal operation as a PBM in Massachusetts starting January 1, 2026.<\/li>\n\n\n\n<li><strong>The initial license is valid for one year (2026),<\/strong> requires a non-refundable filing fee of $8,334, and subsequent three-year licenses cost $25,000, with submission through Massachusetts&#8217; secure MOVEit system and specific access configuration steps.<\/li>\n\n\n\n<li><strong>Applicants must promptly report any material changes to the submitted information within 30 days<\/strong> and include comprehensive documentation such as biographical affidavits, audited financial statements, and insurance certificates as outlined in the Bulletin.<\/li>\n<\/ul>\n\n\n\n<p><strong><em><a href=\"https:\/\/www.mass.gov\/doc\/bulletin-2025-04-requirements-for-2026-licensure-of-pharmacy-benefit-managers-issued-september-18-2025\/download\" target=\"_blank\" rel=\"noreferrer noopener\">See MA Bulletin 2025-04<\/a><\/em><\/strong><\/p>\n\n\n\n<p><\/p>\n","protected":false},"featured_media":21609,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"department":[252],"state":[311],"class_list":["post-27007","bulletin","type-bulletin","status-publish","format-standard","has-post-thumbnail","hentry","department-department-of-insurance","state-massachusetts"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/bulletin\/27007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/bulletin"}],"about":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/types\/bulletin"}],"version-history":[{"count":0,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/bulletin\/27007\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/media\/21609"}],"wp:attachment":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/media?parent=27007"}],"wp:term":[{"taxonomy":"department","embeddable":true,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/department?post=27007"},{"taxonomy":"state","embeddable":true,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/state?post=27007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}