New federal PBM transparency mandates include $10K-per-day fines for employers

News February 09, 2026 at 06:06 PM
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What You Need To Know

  • Employers can avoid the fines by showing that they tried to comply.
  • The maximum penalty for PBMs and insurers that knowingly give false information is $100,000 per false item.
  • A Lockton analyst predicts PBMs will try to make plan sponsors responsible for PBM penalties.