This message is directed to all insurers, pharmacy benefit managers, and any other administrator of pharmacy benefits that utilize a network to provide pharmacy or pharmacist services under a health plan. The purpose of this message is to notify insurers, pharmacy benefit managers, or any other administrator of pharmacy benefits of new reporting requirements set forth in Pub. L. 189-2025.
Pursuant to Indiana Code 27-1-24.2-14, the above entities must file an annual report with the Indiana Department of Insurance in a manner and form prescribed by the commissioner that describes the networks of the insurer, pharmacy benefit manager, or other administrator that are utilized for the provision of pharmacy or pharmacist services under a health plan.
The following form shall be used by the above entities to meet the requirements in Indiana Code 27-1-24.2-14. Email the completed form with subject line "[Organization Name]-Pharmacy Network Adequacy Annual Report" to the IDOI at Pbmcompliance@idoi.IN.gov by December 1 this year (2026) and by September 1 each year thereafter.
