PBMs shall submit the following information to demonstrate compliance with New Mexico law according to the schedule provided by the superintendent:
- A. Grievance and MAC appeal data. The PBM shall file a log of grievance and MAC appeal data using a form specified by the superintendent.
B. Pharmacy and therapeutics (“P&T”) committee data. The PBM shall submit the following information for any P&T Committee:
- (1) names of committee members and conflict disclosure statements;
- (2) dates and meeting minutes of the P&T committee from the prior plan year; and
- (3) statement of the P&T committee’s duties responsibilities, and goals.
- C. Confidentiality of P&T committee data. P&T committee minutes provided to the superintendent shall be deemed confidential.
[13.10.30.18 NMAC – Rp, 13.10.30.18 NMAC, 3/1/2022]