PBM Complaints
Per IC 27-1-24.5-22.6, “If a pharmacy benefit manager denies an appeal under section 22(a)(2) of this chapter, the appealing contracted pharmacy, pharmacy services administrative organization, or group purchasing organization may file a complaint with the department not later than thirty (30) days from the date of the denial.” The appropriate form for this is PBM Complaint Form.
Please do not use this form to submit complaints involving Medicare, Medicaid, or ERISA plans.
If you are a consumer with a complaint against a PBM, please submit your complaint to the Consumer Services Division.
Pharmacy Benefit Manager Compliance
The PBM Division of the Indiana Department of Insurance reviews complaints, investigates allegations of PBM regulatory violations, and ensures that applicants and licensees meet the requirements of Indiana Insurance Code.
Contacts
Calla Dain – PBM Supervising Investigator – 317-234-3929, CDain@idoi.IN.gov
Dan Fetz – PBM Investigator – 317-233-7527, DFetz@idoi.IN.gov
Emily Underwood – PBM Investigator – 317-234-2088, EUnderwood1@idoi.IN.gov
Taryn Claypool - PBM Investigator - 317-232-2336, TClaypool@idoi.in.gov
Grant Lindman – Assistant Director, Healthcare Cost Oversight – 317-489-4667, GLindman@idoi.in.gov