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Pharmacy Benefit Managers

Published by data.iowa.gov | State of Iowa | Metadata Last Checked: October 06, 2025 | Last Modified: 2025-10-02
A pharmacy benefits manager performs pharmacy benefits management services for an entity offering pharmacy benefits to their customers. Pharmacy benefits manager does not include a health insurer licensed in the state if the health insurer or its subsidiary is providing pharmacy benefits management services exclusively to its own insureds, or a public self-funded pool or a private single employer self-funded plan that provides such benefits or services directly to its beneficiaries.

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