1. (a) All PBMs shall submit a renewal fee of $100 and complete and submit a renewal application PBM-R “Application for Registration: Initial Application or Renewal Application” (May 2020), available at: https://www.nh.gov/insurance/companies/applications/index.htm, by March 1 each year.
2. (b) No registration shall be renewed unless the PBM has submitted an annual report as required by RSA 402-N:6, I.

3. (c) Annual reports shall be submitted in an electronic workbook that includes the following information:

   1. (1) Carrier plan code or name;
   2. (2) Health carrier’s National Association of Insurance Commissioners company code;
   3. (3) Plan code as defined in Ins 4010.07(c);
   4. (4) Total amount spent on drugs prior to rebates; and

   5. (5) Aggregate amount of all rebates collected from pharmaceutical manufacturers that were

      attributable to patient utilization in New Hampshire.

Source. (See Revision Note at part heading for Ins 2704) #13059, eff 6-29-20