Investor Presentaiton
Figure 1: Many states have adopted policies for uniform formularies for all or some drug classes in Medicaid
managed care
AK
WA
MT
ND
MN
WI
MI
OR
NV
WY
SD
ΙΑ
ME
VT
NH
NY
MA
RI
IN
OH
PA
NJ
CT
NE
MO
KY
WV
VA
MD
DE
HI
UT
NM
KS
AR
TN
NC
SC
DC
AZ
OK
TX
Increased transparency
A
MS
AL
GA
FL
Source: Kaiser Family Foundation
Reporting and transparency requirements
No uniform formulary for
managed care
FFS pharmacy benefit
Uniform formulary for
some drug classes
Uniform formulary for all
drug classes
Most states have implemented laws requiring PBMs to disclose certain pricing and cost information
such as data on rebates, or payments and fees collected from drug manufacturers and pharmacies. This
helps health regulators and health plans to make informed decisions regarding whether PBMS are
providing benefits and delivering good value. Examples: Louisiana and Minnesota.
Figure 2: 32 states have passed laws requiring greater transparency or reporting for PBMs
AK
HI
WA
MT
ND
MN
WI
MI
WY
SD
ΙΑ
ME
VT
NH
NY
MA
IN
OH
PA
NJ
CT
OR
NV
CO
NE
MO
KY
WV
VA
MD
DE
CA
UT
NM
KS
AR
TN
NC
SC
DC
AZ
OK
LA
MS
AL
GA
TX
FL
Source: National Council of State Legislatures
Oregon Secretary of State | September 2022 | page 3
PBM reporting or transparency
requirementsView entire presentation