Trouble in the Sunshine State: Objections Mount Over Florida’s PBM Law

  • Mar 27, 2025

    A year after it was enacted, Florida’s PBM reform law is causing compliance headaches for employers and PBMs alike. 

    The Prescription Drug Reform Act (PDRA), which took effect in January 2024, requires PBMs to eliminate spread pricing and pass 100% of manufacturer rebates to plan sponsors, and it forbids requiring enrollees to fill medications by mail order, among other provisions. But the law also requires employers to submit a one-page attestation acknowledging that the PBM is complying with the law — a requirement that can place a substantial burden on employers. 

    What’s more, Florida’s Office of Insurance Regulation (OIR) in February requested large amounts of sensitive patient data from PBMs, Bloomberg first reported. The request includes information on all prescriptions filled in Florida in 2024, even by nonresidents, including patient names and medications, raising serious privacy concerns. 

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  • Jill Drachenberg

    Jill has been a reporter and editor since 2005, mainly focusing on business and health care. Before joining AIS Health, she was an editor for Relias Media (formerly AHC Media), focusing on topics such as case management, medical ethics, risk management, infection control, hospital management, and contraceptive technology. She has a B.A. in journalism from Georgia State University.

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