Pharmacy Network Adequacy Reporting
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This bulletin clarifies annual pharmacy network adequacy data submission requirements under AID Rule 118 for issuers, PBMs, and related entities doing business in Arkansas; it specifies timing, file specs, submission process, and issuer responsibilities.
No material clinical or coverage changes in this revision.
Pharmacy Network Adequacy Reporting Requirements
Pharmacy network adequacy reporting requirements
Reporting and submission requirements for issuers and PBMs:
Issuer and PBM Responsibilities & Filing Timeline
Annual pharmacy network adequacy filing — issuer responsibility and deadline
Issuers that utilize a pharmacy benefit manager (PBM) must submit an annual pharmacy network adequacy filing to the Arkansas Insurance Department per 23 CAR pt 146 (Rule 118). The filing is due March 1 each year (or the next business day if March 1 falls on a weekend or state holiday); data reported must cover the prior calendar year and be submitted using the AID-prescribed file specifications and submission process.
- Use the 'Reporting Data Specifications' document on the AID website for file specifications and file-naming conventions.
- Submit files via the process described in the 'General Data Submission Process to RHLD' document on the Department website.
- Although PBMs may assist, the issuer retains sole responsibility for timely and accurate submission.
- Example: Data for Jan 1–Dec 31, 2025 must be submitted by March 1, 2026.
Key Terms
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