PBM Licensure Law – OHIO

OHIO SUMMARY OF EXISTING LAW

Ohio statute requires PBMs to maintain an active Third Party Administrator (TPA) license from ODI. License application procedures remain the same as current TPA licensing processes. Those PBMs already holding a TPA license are not required to renew until the regular license renewal date of June 30, 2016.

Link to Existing Law: 2017 ORC Title 39 Ch. 3959 § 3959.05

PRACTICAL NOTE FOR EXISTING LAW

Ohio treats PBM as third party adminstrators. While this law includes some additional requirements incumbent on PBMs beyond just licensure, such requirements inure mainly to the benefit of plan sponsors, rather than phramacy providers.