Pharmacy Benefit Manager Compliance Division

Kelli Littlejohn Newman, Pharm.D.
Director, PBM Compliance Division

The Pharmacy Benefit Manager (PBM) Compliance Division of the Alabama Department of Insurance is responsible for administering and enforcing Alabama’s PBM laws, including the Community Pharmacy Relief Act, Act No. 2025-136, the Alabama Pharmacy Benefits Manager Licensure and Regulation Act, Act No. 2019-457 as amended by Act No. 2021-341, and the Pharmacy Audit Integrity Act, Act No. 2012-306.

Pursuant to Alabama PBM statutes, the Department is authorized to license PBMs operating in Alabama and to oversee compliance with all applicable statutory requirements, including reimbursement standards, audit practices, and reporting obligations. Additionally, the Department investigates complaints and alleged violations of Alabama’s PBM laws. The goal of the PBM Compliance Division is to promote, preserve, and protect the public health, safety, and welfare through effective regulation and licensure of PBMs.

Pharmacies
  • Pharmacy Complaint Form
  • Reimbursement Complaint Spreadsheet Template
  • PBM/Pharmacy Complaint Best Practices
  • Contact Email: pbmcompliance@insurance.alabama.gov
  • Fax: 334-241-4110
  • Pharmacy Audit Integrity Act Complaint Filing Fee: Complaints alleging violations of The Pharmacy Audit Integrity Act are subject to a $100 filing fee, per Ala. Admin Code r. 482-1-164-.08 (8). After a complaint is properly submitted to the Department by a complaining pharmacy, the pharmacy will receive an invoice by email with instructions and a link to submit an electronic payment. Upon receipt of payment, the Department’s PBM Compliance Division will proceed with a review of the complaint. The complaint filing fee will be repaid to the complaining pharmacy by the pharmacy benefit manager (PBM) or PBM affiliate in the event the violation is proven, per Ala. Code § 27-45A-5 (b).
PBMs
  • PBM Licensure - The Initial PBM application must be completed and filed along with copies of the applicant’s corporate charter, articles of incorporation, or other charter documents.
  • PBMs Licensed in Alabama
Consumers
Regulations/Laws
PBM Actions
  • Click here for a list of ALDOI actions taken in accordance with Alabama’s PBM statute.
Resources