Massachusetts Licenses and Regulates Pharmacy Benefit Managers
Summary
The Massachusetts Division of Insurance has issued new regulations for the licensing and regulation of Pharmacy Benefit Managers (PBMs). The regulations establish a framework for PBM oversight within the Massachusetts insurance market. PBMs operating in or providing services to Massachusetts residents must comply with these new licensing requirements.
What changed
The Massachusetts Division of Insurance has adopted new regulations establishing a licensing and regulatory framework for Pharmacy Benefit Managers (PBMs). The regulations set out requirements for PBMs operating in the Massachusetts insurance market, including licensing obligations and compliance standards.
PBMs providing services to Massachusetts residents or operating within the state must obtain appropriate licensure from the Division of Insurance. Healthcare providers, insurers, and plan sponsors doing business with PBMs in Massachusetts should verify that their PBM partners hold the required state license and comply with Massachusetts-specific regulatory requirements.
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Apr 20, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
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- Division of Insurance
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Division of Insurance Regulations
3/13/2026
- Division of Insurance
Licensing and Regulation of Pharmacy Benefit Managers (PBMs)
Division of Insurance
The primary mission of the Division of Insurance (DOI) is to monitor the solvency of its licensees in order to promote a healthy, responsive and willing marketplace for consumers who purchase insurance products. Protection of consumer interests is of prime importance to the Division and is safeguarded by providing accurate and unbiased information so consumers may make informed decisions and by intervening on behalf of consumers who believe they have been victimized by unfair business practices.
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